Senior Claims Specialist

Great American Insurance Group; United States; Sur place; USD 106 000 - 144 000; Plein temps

Avantages offerts par ce poste

Medical, dental, vision coverage

Paid time off & holidays

401(k) with company match

Employee stock purchase plan

Commuter benefits

Tuition reimbursement

Résumé du poste

SCI Summit Consulting, LLC is seeking a senior claims professional to oversee highly complex workers’ comp claims from Maryland-based field operations. You will drive investigations, determine liability and settlements, and negotiate within authority while ensuring accurate documentation and timely payments.

The role requires extensive P&C claims experience, a relevant bachelor’s degree, and professional credentialing (AIC encouraged). This field position offers growth and comprehensive benefits.

Qualifications

• Bachelor’s degree required in business, risk management, insurance, or related field.
• 13+ years experience in property and casualty claims handling preferred.
• Professional designation (e.g., AIC) encouraged or pursued.

Responsabilités

• Manages a large inventory of highly complex claims and evaluates compensability/liability.
• Leads investigations to confirm coverage, liability, and damages.
• Analyzes and negotiates settlements and reserves within authority.
• May attend arbitrations, mediations, depositions, or trials.
• Communicates complex coverage and settlements to insureds and claimants.
• Authorizes payments within authority limits and ensures timely disbursement.
• Maintains detailed claim files and related correspondence and settlements.
• Mentors staff and participates in talent development decisions.

Connaissances

Analytical skills

Negotiation skills

Claims handling

Communication

Leadership

Formation

Bachelor’s Degree in Business Administration/Risk Management & Insurance

Description du poste

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.

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

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.

Great American Insurance Group understands the importance of choosing a financially strong company. We are an organization built for the long term and are committed to giving you that strength.

Why can you trust Great American Insurance Group?

For nearly 150 years, Americans have trusted us to protect them. Our innovative insurance solutions and specialization serves niche marketplaces that we know well. This expertise gives us a successful foundation that spans generations. You never know where a career in insurance will take you. Whether you are starting your career or are looking for a company to grow your experience, at Great American Insurance Group, you can join our more than 8,500 employees to "Be Here. Be GREAT!" To learn more, visit our Career Page.