Senior Claims Specialist (VA/PA)

Summit Consulting; Georgia (VT); Remote; USD 74,000 - 137,000; Full time

Job summary

A leading company in the workers’ compensation sector is seeking a Senior Claims Specialist. This remote role involves managing claims, conducting investigations, and negotiating settlements. Ideal candidates will have a Bachelor’s degree and at least six months of claims handling experience. The position offers a competitive salary and comprehensive benefits, including medical, dental, and vision plans, PTO, and a 401(k) plan.

Benefits

Medical, dental, and vision plans starting on day one

Paid time off (PTO)

Paid holidays

Commuter benefits

Employee stock purchase plan

Education reimbursement

Paid parental leave/adoption assistance

401(k) plan with company match

Qualifications

• Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or equivalent.
• Minimum of 6 months experience in property and casualty claims handling.
• Progress toward or completion of a professional designation preferred.

Responsibilities

• Manages an inventory of claims to evaluate compensability/liability.
• Conducts claim investigations to confirm coverage and determine liability.
• Negotiates appropriate claim settlements within prescribed authority.

Skills

Analytical skills

Negotiation skills

Problem-solving skills

Interpersonal skills

Communication skills

Education

Bachelor’s Degree in Business Administration

Risk Management and Insurance

Finance

Job description

Senior Claims Specialist (VA/PA) page is loaded

Senior Claims Specialist (VA/PA)

Apply remote type Remote locations PA Work At Home VA Work at Home time type Full time posted on Posted 6 Days Ago job requisition id R6933

Headquartered in the Central Florida city of Lakeland, Summit employs over 700 office and field associates at its main location and regional offices in Baton Rouge, Louisiana, and Gainesville, Georgia. As the people who know workers’ comp, we strive to provide an atmosphere of constant growth and development for our employees.

Summit provides workers’ compensation programs and services to thousands of employers throughout the Southeast.

Summit is a member of Great American Insurance Group, a company that focuses on building relationships and linking people to various career paths. Whether it’s underwriting, claims, accounting, IT, legal, or customer service, Great American Insurance Group combines a small-company entrepreneurial atmosphere with big- company expertise.

Essential Job Functions and Responsibilities

• Manages an inventory of claims to evaluate compensability/liability.
• Conducts claim investigations to confirm coverage and to determine liability, compensability and damages.
• Determines and may negotiate appropriate claim settlements/reserves within prescribed authority. May attend arbitrations, mediations, depositions, or trials.
• Conveys routine to moderately complex information regarding coverage and settlements to insureds, claimants, and external partners.
• May authorize payments in accordance with assigned authority limit and ensures payments are made in a timely manner.
• Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements.
• Performs other duties as assigned.
• This position would be remote within the state of Virginia or Pennsylvania.

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 6 months of experience in property and casualty claims handling. Continuing progress toward and/or the completion of a professional designation preferred, such as Associate in Claims (AIC).

Scope of Job/Qualifications: Works within specific limits and authority on assignments of moderate technical complexity and coordination. Demonstrates functional analytical, negotiation, and problem-solving skills. Demonstrates knowledge of insurance policies, coverage, and claims handling procedures. Develops and maintains knowledge of industry laws and regulations. Demonstrates ability to organize and prioritize caseloads, ensuring timely resolution of claims. Strong interpersonal and communication skills with the ability to build relationships and handle negotiations. Proven ability to handle confidential information with discretion.

Company:

SCI Summit Consulting, LLC

Salary Range:

$74,000.00 -$137,000.00

Benefits:

Compensation varies by role, position level, and location. Individual pay is influenced by skills, education, training, certifications, experience, and the role's scope and complexity, along with business needs.

We offer a competitive Total Rewards package, including medical, dental, and vision plans starting on day one, PTO, paid holidays, commuter benefits, an employee stock purchase plan, education reimbursement, paid parental leave/adoption assistance, and a 401(k) plan with company match. These benefits are available to eligible full-time and part-time employees.

Your recruiter can provide more details about our total rewards and specific compensation ranges during the hiring process.

About Us

Headquartered in the Central Florida city of Lakeland, Summit employs over 700 office and field associates at its main location and regional offices in Baton Rouge, Louisiana, and Gainesville, Georgia. As the people who know workers’ comp, we strive to provide an atmosphere of constant growth and development for our employees.

With more than 40 years of experience, Summit provides workers’ compensation programs and services to thousands of employers throughout the Southeast.

Summit is a member of Great American Insurance Group, a company that focuses on building relationships and linking people to various career paths. Whether it’s underwriting, claims, accounting, IT, legal, or customer service, Great American Insurance Group combines a small-company entrepreneurial atmosphere with big- company expertise.