Claims Specialist NC / SC

Summit; Sumter (SC); Hybrid; USD 79,000 - 107,000; Full time

Benefits offered by this job

Medical, dental, vision

401(k) with company match

Employee stock purchase plan

Commuter benefits

Paid time off

Job summary

SCI Summit Consulting, LLC is seeking an experienced Senior Claims professional to manage a large inventory of complex workers’ compensation claims and oversee investigations to determine coverage, liability, and damages.

The role emphasizes analytical thinking, negotiation, and leadership, with responsibilities including authorizing payments, maintaining case files, and guiding less experienced staff. Hybrid work supports in-office presence several days weekly.

Qualifications

• Excellent analytical, negotiation, and problem-solving skills.
• Strong interpersonal and communication skills with the ability to build relationships and lead negotiations.
• Proven ability to handle confidential information with discretion and manage senior-level stakeholders.

Responsibilities

• Manages a large inventory of complex claims to evaluate compensability/liability.
• Plans and conducts complex claims investigations to confirm coverage and ascertain liability, compensability and damages.
• Analyzes and negotiates settlements/reserves within assigned authority; may attend arbitrations, mediations, depositions, or trials.
• Conveys complex information regarding coverage and settlements to insureds, claimants, and external partners.
• Authorizes payments in accordance with authority limits and ensures timely disbursement.
• Maintains accurate and detailed claim files, including correspondence, reports, and settlement agreements.
• May supervise staff and participate in talent decisions for direct reports.
• Performs other duties as assigned.
• Hybrid schedule out of Gainesville, GA office or remotely from states in the Southeast region (GA, IL, TN, IN, SC, KY, NC); on-site four days a week with one remote day.

Skills

Analytical skills

Negotiation skills

Problem-solving

Interpersonal skills

Communication skills

Leadership

Education

Bachelor's degree in Business Administration, Risk Management and Insurance, Finance, or related field

Job description

Company

SCI Summit Consulting, LLC

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 a large inventory of complex claims to evaluate compensability/liability.
• Plans and conducts complex claims investigations to confirm coverage and to determine liability, compensability and damages.
• Analyzes and negotiates appropriate claim settlements/reserves within prescribed authority. May attend arbitrations, mediations, depositions, or trials.
• Conveys 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.
• May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports.
• Performs other duties as assigned.
• The person hired for this position will work a hybrid scheduled out of the Gainesville, GA office or remotely from one of the states in our Southeast region including GA, IL, TN, IN, SC, KY, NC.
• 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.

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 9 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 broad limits and authority on assignments of the highest technical complexity, requiring specialized knowledge. Demonstrates excellent analytical, negotiation, and problem‑solving skills. Maintains strong knowledge of insurance policies, coverage, and claims handling procedures. Maintains knowledge of industry laws and regulations. Advanced 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. Viewed as a senior resource within the Claims department and/or organization.

Salary Range

$79,200.00 -$106,800.00

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.

Company

SCI Summit Consulting, LLC