Hybrid Claims Specialist - Workers' Comp

Summit; Gainesville (GA); 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 seeks an experienced Senior Claims Manager to oversee a large inventory of complex workers’ compensation claims. You will evaluate compensability, liability, and settlements, and lead investigations while ensuring timely payments.

This role is hybrid from Gainesville, GA with four days in office and one remote day. A bachelor’s degree in business/insurance and at least 9 years’ P&C claims experience are required, with a professional designation such as AIC preferred.

Qualifications

• 9+ years of experience in property and casualty claims handling.
• Professional designation such as AIC preferred.
• Strong negotiation and analytical skills.

Responsibilities

• Manage a large inventory of complex claims and evaluate compensability and liability.
• Plan and conduct complex investigations to confirm coverage and determine liability and damages.
• Analyze and negotiate settlements and reserves within authority; may attend arbitrations or trials.
• Convey complex information regarding coverage and settlements to insureds and external partners.
• Authorize payments within assigned authority and maintain accurate claim files.

Skills

Claims handling

Negotiation

Analytical skills

Insurance knowledge

Education

Bachelors in Business/Insurance

Job description

SCI Summit Consulting, LLC seeks an experienced Senior Claims Manager to oversee a large inventory of complex workers’ compensation claims. You will evaluate compensability, liability, and settlements, and lead investigations while ensuring timely payments.

This role is hybrid from Gainesville, GA with four days in office and one remote day. A bachelor’s degree in business/insurance and at least 9 years’ P&C claims experience are required, with a professional designation such as AIC preferred.