Senior Claims Specialist (Remote in Illinois)

SCI Summit Consulting, LLC; Illinois; Remote; USD 80,000 - 100,000; Full time

Job summary

A leading company in the workers’ compensation sector seeks an experienced claims manager. This remote role in Illinois involves investigating claims, providing guidance to staff, and ensuring compliance with regulations. Join a team dedicated to excellence in claims management and employee development.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

Paid Time Off

401(k) Plan

Qualifications

• Typically 10+ years of relevant experience.

Responsibilities

• Investigate and manage claims, ensuring compliance with laws.
• Provide technical guidance to junior staff.
• Communicate complex information professionally.

Skills

People Skills

Communication

Education

Bachelor’s Degree

Job description

Headquartered in Lakeland, Central Florida, Summit employs over 700 associates across its main and regional offices in Baton Rouge, Louisiana, and Gainesville, Georgia. We focus on providing an environment of growth and development for our employees.

Summit offers workers’ compensation programs and services to numerous employers throughout the Southeast.

As part of Great American Insurance Group, we combine a small-company entrepreneurial atmosphere with extensive expertise in underwriting, claims, accounting, IT, legal, and customer service.

Essential Job Functions and Responsibilities

If you understand workers’ compensation and excel at people skills, you’ll find a unique workplace experience here. Apply today to join the team that knows workers’ comp and people.

• Investigate and manage claims: review coverage and liability, gather and analyze necessary information such as reports, policies, and statements.
• Work towards resolving claims, attend arbitrations, mediations, depositions, or trials as needed.
• May recommend settlements or reserves within authority limits and consult supervisors on cases exceeding personal limits.
• Communicate complex information regarding coverage, decisions, and negotiations professionally to all parties.
• Ensure timely and accurate claims payments.
• Handle claims in compliance with applicable laws, regulations, and company policies.
• Provide technical guidance to junior staff and other departments.
• May oversee staff performance, coaching, and participate in talent management decisions.
• Perform additional duties as assigned.
• This role manages claims in Illinois and is remote within the state.

Job Requirements

Education: Bachelor’s Degree or equivalent experience.

Field of Study: Liberal Arts, Business, or related discipline.

Experience: Typically 10+ years of relevant experience.

Compensation and Benefits

The salary range is determined by role, level, and location, considering factors like skills, education, certifications, experience, and organizational needs. We offer a competitive Total Rewards package including medical, dental, vision, paid time off, and a 401(k) plan for eligible employees. More details about total rewards and specific wage ranges can be provided during the hiring process.