Divisional/Subsidiary Assistant Vice President - Claims

Summit; Baton Rouge (LA); On-site; USD 95,000 - 130,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off and holidays

401(k) plan with company match

Employee stock purchase plan

Commuter benefits

Job summary

SCI Summit Consulting, LLC is seeking a seasoned regional claims leader in Baton Rouge, LA to direct the Southwest claims operation. The role involves guiding file strategy, overseeing coverage decisions, and expanding settlement authority within limits.

You will mentor staff and drive performance to meet budget and service objectives. Key requirements include a Bachelor’s degree or equivalent, 15+ years in related work with 6+ years in claims management, and advanced expertise in claims

Qualifications

• Bachelor’s degree or equivalent experience required.
• 15+ years related experience with 6+ years in claims management.
• Advanced knowledge within the claims discipline; expert level capability.

Responsibilities

• Oversees activities within the Southwest regional Claims department.
• Provides file guidance and approves settlement authority as needed.
• Reviews and determines coverage and/or liability on claims.
• Secures and analyzes information for investigation of claims.
• Leads the team toward resolution, attending arbitrations or trials when necessary.
• Sets reserves and provides reporting to leadership as needed.
• Ensures compliance with laws, regulations, and company procedures.
• Coaches and develops staff; plans regional operation to meet budget targets.

Skills

Advanced claims knowledge

Expert claims knowledge

Experience 15+ yrs

Education

Bachelor’s Degree or equivalent experience

15+ years experience, including 6+ years in claims management

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.

• 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.
• This position will be located in our Baton Rouge, LA office.
• Oversees activities within the Southwest regional Claims department.
• Provides file guidance.
• Advises reporting staff on claim files and extends settlement authority as necessary after reviewing files.
• Reviews and determines coverage and / or liability.
• Secures / analyzes necessary information (i.e., reports, policies, appraisals, releases, statements, records or other documents) in the investigation of claims.
• Works toward the resolution of claims files, complaints and disputes and attends arbitrations, mediations, depositions or trials as necessary.
• May affect settlements / reserves within prescribed limits and submit recommendations to supervisor on cases exceeding personal authority.
• Ensures that department or functional area meets policies and procedures. May provide input to establishing policies and procedures. Aligns business unit with business objectives.
• Ensures that claims handling is conducted in compliance with applicable statutes, regulations and other legal requirements, and that all applicable company procedures and policies are followed.
• Advises reporting staff on claim files and extends settlement authority as necessary after reviewing files.
• May establish reserves and make recommendations or reports for Corporate Claims or senior management.
• Provides tactical leadership and strategic direction to the regional claims operation.
• Responsible for performance, development and coaching of staff (i.e., hiring, firing, performance management, salary increases, etc.).
• Plans and ensures that the regional claims operation meets budget and performance targets.
• Performs other duties as assigned.

Qualifications

• Bachelor’s Degree or equivalent experience.
• 15 or more years of related experience, including 6 or more years of claims management experience.
• Advanced/specialized knowledge within the claims discipline. Holds expert level capability in the claims field.

Company

SCI Summit Consulting, LLC

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.