Senior Workers' Comp Claims Specialist

Summit

Knoxville (TN)

Hybrid

USD 79,000 - 107,000

Full time

16 hours ago
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Benefits offered by this job

Medical insurance
Dental insurance
Vision insurance
Wellness programs
Parental leave
Tuition reimbursement
Paid time off
401(k) plan with company match
Employee stock purchase plan
Commuter benefits

Job summary

SCI Summit Consulting, LLC is seeking an experienced Senior Claims Analyst to manage a large inventory of complex workers’ compensation claims across a hybrid regional model. You will evaluate compensability, negotiate settlements, and coordinate with insureds, claimants, and external partners.

The role requires strong analytical and negotiation skills, 9+ years in property and casualty claims handling, and the ability to lead others. Core in‑office days are Tue–Thu with one remote day as needed.

Qualifications

  • Minimum 9 years of experience in property and casualty claims handling.
  • Education in Business Administration, Risk Management and Insurance, Finance, or related field or equivalent experience.
  • Professional designation such as AIC is preferred.

Responsibilities

  • Manges a large inventory of complex claims to evaluate compensability/liability.
  • Plans and conducts complex claims investigations to confirm coverage and determine liability, compensability and damages.
  • Analyses and negotiates settlements/reserves within authority; may attend arbitrations or trials.
  • Conveys complex coverage and settlement information to insureds, claimants, and external partners.
  • Authorizes payments within assigned authority and ensures timely processing.
  • Maintains detailed claim files and may supervise staff or contribute to talent decisions.

Skills

Claims handling
Negotiation
Analysis
Leadership

Education

Bachelor's degree or equivalent

Tools

Claims software

Job description

SCI Summit Consulting, LLC is seeking an experienced Senior Claims Analyst to manage a large inventory of complex workers’ compensation claims across a hybrid regional model. You will evaluate compensability, negotiate settlements, and coordinate with insureds, claimants, and external partners.

The role requires strong analytical and negotiation skills, 9+ years in property and casualty claims handling, and the ability to lead others. Core in‑office days are Tue–Thu with one remote day as needed.

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