Regional Claims Executive | Strategy & Leadership

Summit Insurance Group, Inc.; Baton Rouge (LA); Hybrid; USD 90,000 - 130,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Wellness programs

Parental leave

Tuition reimbursement

401(k) plan with company match

Employee stock purchase plan

Commuter benefits

Job summary

SCI Summit Consulting, LLC seeks a seasoned Regional Claims Manager for the Southwest region, based in Baton Rouge, LA. The role leads on-site operations four days a week with one remote day, guiding staff, reviewing coverage, and driving settlements within authority limits.

The ideal candidate has 15+ years in claims, including 6+ in management, with advanced knowledge of claims processes and strategic leadership to meet budgets and performance targets.

Qualifications

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

Responsibilities

• 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 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 department meets policies and procedures and aligns unit with business objectives.
• Ensures claims handling is compliant with statutes, regulations and company procedures.
• Provides tactical leadership and strategic direction to the regional claims operation.
• Responsible for performance, development and coaching of staff.
• Plans and ensures the regional claims operation meets budget and performance targets.

Skills

Leadership & People Management

Advanced Claims Knowledge

Strategic Direction

Education

Bachelor's Degree or equivalent experience

Job description

SCI Summit Consulting, LLC seeks a seasoned Regional Claims Manager for the Southwest region, based in Baton Rouge, LA. The role leads on-site operations four days a week with one remote day, guiding staff, reviewing coverage, and driving settlements within authority limits.

The ideal candidate has 15+ years in claims, including 6+ in management, with advanced knowledge of claims processes and strategic leadership to meet budgets and performance targets.