Claims Specialist

Summit Consulting; Gainesville (GA); Hybrid; USD 70,000 - 92,000; Full time

Benefits offered by this job

Medical, dental, vision

401(k) with company match

Paid time off

Commuter benefits

Job summary

Summit Consulting, LLC in Gainesville, GA seeks a Claims Specialist to manage an inventory of claims, conduct investigations to confirm coverage and liability, and negotiate settlements within authority. You will communicate complex information to insureds and external partners, authorize payments, and maintain detailed claim files.

This on-site role offers a hybrid schedule with one remote day. A bachelor's degree in business or related field and 5 years of property & casualty claims experience

Qualifications

• Bachelor's degree in Business Administration, Risk Management and Insurance, Finance, or related field or equivalent experience.
• Generally, a minimum of 5 years of experience in property and casualty claims handling.
• Completion of or continuing progress toward a professional designation such as AIC is preferred.

Responsibilities

• Manages an inventory of claims to evaluate compensability/liability.
• Plans and conducts claim investigations to confirm coverage and determine liability, compensability and damages.
• Determines and negotiates settlements/reserves within prescribed authority; may attend arbitrations, mediations, depositions, or trials.

Skills

Analytical skills

Negotiation

Problem solving

Communication

Relationship building

Leadership

Education

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

Job description

## Claims SpecialistApplylocations: Gainesville, GA (USA): Georgia, USA: Tennessee, USA: South Carolina, USA: North Carolina, USAtime type: Full timeposted on: Posted Todayjob requisition id: R9345Summit 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.* 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.* 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.**