Claims Representative (Medical Only)

Summit Consulting; St. George (LA); Hybrid; USD 52,000 - 75,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Wellness plans

Parental leave

Adoption assistance

Tuition reimbursement

Paid time off

Paid holidays

401(k) plan with company match

Employee stock purchase plan

Commuter benefits

Job summary

SCI Summit Consulting, LLC is seeking an experienced claims professional to manage an inventory of workers’ compensation claims, evaluate coverage and liability, and determine settlements within authorized authority. You will conduct investigations, communicate with insureds and external partners, and maintain detailed claim files.

Role requires knowledge of P&C claims processes, strong negotiating abilities, and the ability to handle confidential information with discretion.

Qualifications

• Bachelor’s degree or equivalent experience.

Responsibilities

• Manages an inventory of claims to evaluate compensability/liability.

Skills

Analytical skills

Negotiation

Problem-solving

Insurance knowledge

Communication skills

Education

Bachelor’s Degree in Business Administration / Risk Management and Insurance / Finance

Job description

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.Great American’s culture is built on connection, shared learning, and strong relationships. To support this, employees in this role are expected to be on-site four days a week, with the flexibility to work one day remotely. Core in-office days are Tuesday–Thursday, with the fourth day determined by business needs.Essential Job Functions and ResponsibilitiesManages an inventory of claims to evaluate compensability/liability.Conducts claim investigations to confirm coverage and to determine liability, compensability and damages.Determines and may negotiate appropriate claim settlements/reserves within prescribed authority. May attend arbitrations, mediations, depositions, or trials.Conveys routine to moderately complex information regarding coverage and settlements to insureds, claimants, and external partners.May authorize 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.Job RequirementsEducation: Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience.Experience: Generally, a minimum of 6 months 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 specific limits and authority on assignments of moderate technical complexity and coordination. Demonstrates functional analytical, negotiation, and problem-solving skills. Demonstrates knowledge of insurance policies, coverage, and claims handling procedures. Develops and maintains knowledge of industry laws and regulations. Demonstrates ability to organize and prioritize caseloads, ensuring timely resolution of claims. Strong interpersonal and communication skills with the ability to build relationships and handle negotiations. Proven ability to handle confidential information with discretion.This job is non-exempt in California and WashingtonCompany:SCI Summit Consulting, LLCBenefits: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.