Senior Claims Specialist

gaig; Maryland; On-site; USD 106,000 - 144,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Wellness plans

Parental leave

Adoption assistance

Tuition reimbursement

Paid time off

401(k) with company match

Employee stock purchase plan

Commuter benefits

Job summary

SCI Summit Consulting, LLC in Maryland seeks an experienced property and casualty claims leader to manage highly complex claims, lead investigations, and negotiate settlements. The role requires extensive experience, strong analytical and negotiation skills, and the ability to coordinate across internal and external stakeholders.

The ideal candidate will possess a Bachelor's degree in a relevant field, progress toward a professional designation (AIC preferred), and a proven track record of

Qualifications

• Minimum of 13 years of experience in property and casualty claims handling.
• Bachelor’s degree in Business Administration, Risk Management and Insurance, Finance, or related field (or equivalent).
• Completion of or progress toward professional designation (e.g., AIC) preferred.
• Strong analytical, negotiation, and problem-solving skills.
• Knowledge of insurance policies, coverage, and claims procedures.
• Ability to manage highly complex claims and lead investigations.

Responsibilities

• Manages a large inventory of highly complex claims to evaluate compensability/liability.
• Strategically orchestrates and leads comprehensive claims investigations to confirm coverage and to determine liability, compensability and damages.
• Analyzes and negotiates appropriate claim settlements/reserves within prescribed authority.
• Conveys highly complex information regarding coverage and settlements to insureds, claimants, and external partners.
• Authorizes payments in accordance with assigned authority limit, ensuring timely disbursement.
• 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.
• Preferred jurisdiction knowledge in PA, MD, DC, VA, DE
• This is a field position in Maryland.

Skills

Complex claims management

Negotiation

Communication

Leadership

Documentation

Analytical thinking

Education

Bachelor’s degree in Business Administration/ Risk Management and Insurance/ Finance

Job description

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 highly complex claims to evaluate compensability/liability.
• Strategically orchestrates and leads comprehensive 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 highly complex information regarding coverage and settlements to insureds, claimants, and external partners.
• Authorizes payments in accordance with assigned authority limit, ensuring timely disbursement.
• 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.
• Preferred jurisdiction knowledge in PA, MD, DC, VA, DE
• This is a field position in Maryland.

#LI-Remote

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 13 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 at the highest authority limits on assignments of the highest technical complexity and coordination. Excellent analytical, negotiation, and problem-solving skills. Demonstrates expert knowledge of insurance policies, coverage, and claims handling procedures. Maintains and leverages 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. Recognized as a subject matter expert within the company, potentially operating at a peer level to management.

Company:

SCI Summit Consulting, LLC

Salary Range:

$106,050.00 -$143,850.00

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.