Senior Claims Specialist

Posted Yesterday
Be an Early Applicant
8 Locations
In-Office or Remote
70K-92K Annually
Senior level
Insurance
The Role
Manage a caseload of workers' compensation claims: investigate coverage and liability, negotiate settlements and reserves within authority, attend dispute proceedings, authorize timely payments, and maintain accurate claim files while communicating with insureds, claimants, and partners.
Summary Generated by Built In

Summit provides independent insurance agents and their clients with market-leading workers’ comp insurance and elite customer service. We’re growing and currently serve more than 7,000 independent agents and 31,000 policyholders across the South, Midwest, and Mid-Atlantic.


Our strength comes from a single-minded focus on workers’ comp and a commitment to long-term customer relationships. Summit is who you turn to when you need a specialist who not only knows workers’ comp but also gets to know your business and your priorities.


Our field team members are located in every state in which we operate.


Summit is a member of the Great American Insurance Group where our highest goal is for all employees to feel included, respected, and empowered to perform at their best.

Essential Job Functions and Responsibilities

  • Manages an inventory of claims to evaluate compensability/liability.
  • Plans and conducts claim investigations to confirm coverage and to determine liability, compensability and damages.
  • Determines and negotiates appropriate claim settlements/reserves within prescribed authority. May attend arbitrations, mediations, depositions, or trials.
  • Conveys moderately complex information regarding coverage and settlements to insureds, claimants, and external partners.
  • Authorizes payments in accordance with assigned authority limit and ensures payments are made in a timely manner.
  • Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements.
  • Performs other duties as assigned.
  • The person hired for this position will work out of the Gainesville, GA office which offers a hybrid work environment (4 days in office, 1 day remote) or will work remotely in the following states: Georgia, Illinois, Indiana, Kentucky, North Carolina, South Carolina, Tennessee

#LI-Remote


Job Requirements

Education: Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience.Experience: Generally, a minimum of 5 years of experience in property and casualty claims handling. Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC).Scope of Job/Qualifications: Works within significant limits and authority on assignments of higher technical complexity and coordination. Demonstrates strong analytical, negotiation, and problem-solving skills. Demonstrates knowledge of insurance policies, coverage, and claims handling procedures. Maintains knowledge of industry laws and regulations. Demonstrates ability to organize and prioritize caseloads, ensuring timely resolution of claims.  Excellent interpersonal and communication skills with the ability to build relationships and lead negotiations. Proven ability to handle confidential information with discretion.

This job is non-exempt in California and Washington

Company:

SCI Summit Consulting, LLC


Salary Range:

$69,600.00 -$92,400.00

Benefits:

We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits.

 

Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at http://www.gaig.com/careers.

 

*Excludes seasonal employees and interns.

Skills Required

  • Bachelor's degree in Business Administration, Risk Management and Insurance, Finance, or related field, or equivalent experience
  • Minimum of 5 years experience in property and casualty claims handling
  • Completion of or continuing progress toward Associate in Claims (AIC)
  • Knowledge of insurance policies, coverage, and claims handling procedures
  • Knowledge of industry laws and regulations
  • Strong analytical, negotiation, and problem-solving skills
  • Ability to organize and prioritize caseloads to ensure timely resolution of claims
  • Excellent interpersonal and communication skills; ability to build relationships and lead negotiations
  • Proven ability to handle confidential information with discretion
  • Work location: Gainesville, GA office (hybrid 4 days in office, 1 remote) or remote in GA, IL, IN, KY, NC, SC, TN

Great American Insurance Group Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Great American Insurance Group and has not been reviewed or approved by Great American Insurance Group.

  • Leave & Time Off Breadth PTO, paid holidays, and paid parental leave are positioned as generous from the first year. These time‑off provisions are seen as core strengths of the total package.
  • Healthcare Strength Health coverage includes comprehensive medical, dental, and vision options supported by HSA and FSA programs. Wellness resources such as EAP access, fitness facilities or reimbursements, and instructor‑led classes broaden the offering.
  • Retirement Support Immediate 401(k) eligibility with a competitive company match and potential discretionary retirement contributions support long‑term savings. An employee stock purchase option and various discounts further reinforce financial benefits.

Great American Insurance Group Insights

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The Company
HQ: Cincinnati, OH
4,738 Employees

What We Do

Based in Cincinnati, Ohio, the operations of Great American Insurance Group are engaged primarily in property and casualty insurance, focusing on specialty commercial products for businesses. We have more than 30 specialty property and casualty insurance businesses, and in 2021, approximately 50% of our gross written premium in our property and casualty operations was generated by business units with a Top 10 market ranking. Great American Insurance Company has received an "A"​ (Excellent) or higher rating from the AM Best Company for more than 110 years (most recent rating evaluation of "A+"​ (Superior) affirmed December 3, 2021). The members of Great American Insurance Group are subsidiaries of American Financial Group, Inc. (AFG), also based in Cincinnati, Ohio.

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