Senior Workers’ Comp Claims Specialist

Summit; North Carolina; Hybrid; USD 79,000 - 107,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Wellness programs

Parental leave

Adoption assistance

Tuition reimbursement

Paid time off

Paid holidays

401(k) with company match

Employee stock purchase plan

Commuter benefits

Job summary

SCI Summit Consulting, LLC seeks a senior claims professional to manage a large inventory of complex workers’ compensation claims, assessing coverage and liability while negotiating settlements.

The role requires 9+ years in property and casualty claims, a Bachelor's degree, and potential leadership responsibilities. On-site four days weekly with one remote day; compensation is $79,200–$106,800 plus comprehensive benefits.

Qualifications

• Bachelor's Degree in Business Administration, Risk Management and Insurance, Finance, or related field or equivalent experience.
• Minimum of 9 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).

Responsibilities

• Manage a large inventory of complex claims to evaluate coverage and liability.
• Plan and conduct complex claims investigations to confirm coverage and determine liability, compensability and damages.
• Analyze and negotiate settlements and reserves within prescribed authority; may attend arbitrations, mediations, depositions, or trials.
• Conveys complex information regarding coverage and settlements to insureds, claimants, and external partners.
• Authorizes payments in accordance with assigned authority and ensures timely payments.
• Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements.
• May have responsibility for performance and coaching of staff and may participate in talent decisions for direct reports.
• The hire will work a hybrid schedule out of the Gainesville, GA office or remotely from one of the Southeast region states including GA, IL, TN, IN, SC, KY, NC; on-site four days a week with one remote day.

Skills

Claims handling

Negotiation

Analytical skills

Leadership / coaching

Education

Bachelor's degree in related field

Job description

SCI Summit Consulting, LLC seeks a senior claims professional to manage a large inventory of complex workers’ compensation claims, assessing coverage and liability while negotiating settlements.

The role requires 9+ years in property and casualty claims, a Bachelor's degree, and potential leadership responsibilities. On-site four days weekly with one remote day; compensation is $79,200–$106,800 plus comprehensive benefits.