Hybrid Workers' Comp Claims Specialist

SC Works; Gainesville (GA); Hybrid; USD 70,000 - 92,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Wellness plans

Parental leave

Tuition reimbursement

Paid Time Off and holidays

401(k) plan with company match

Employee stock purchase plan

Commuter benefits

Job summary

SCI Summit Consulting, LLC seeks an experienced claims professional to manage and investigate workers' compensation claims from our Gainesville, GA area office. The role combines on-site collaboration with remote flexibility, focusing on liability evaluation, coverage verification, and timely settlements.

The ideal candidate has at least five years in property and casualty claims, strong negotiation and analytical skills, and may pursue the AIC designation.

Qualifications

• Minimum 5 years of property and casualty claims handling experience.
• Completion of or progress toward professional designation such as AIC preferred.
• Strong analytical, negotiation, and problem-solving abilities.

Responsibilities

• Manages an inventory of claims to evaluate compensability and liability.
• Plans and conducts claim investigations to confirm coverage and determine liability and damages.
• Determines settlements within authority and may attend arbitrations or trials.
• Communicates coverage and settlements to insureds, claimants, and partners.
• Authorizes payments within authority and ensures timely disbursement.
• Maintains detailed claim files and correspondence.

Skills

Analytical skills

Negotiation

Communication skills

Relationship building

Education

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

Job description

SCI Summit Consulting, LLC seeks an experienced claims professional to manage and investigate workers' compensation claims from our Gainesville, GA area office. The role combines on-site collaboration with remote flexibility, focusing on liability evaluation, coverage verification, and timely settlements.

The ideal candidate has at least five years in property and casualty claims, strong negotiation and analytical skills, and may pursue the AIC designation.