Senior Workers' Comp Claims Specialist

Summit; South Carolina; Hybrid; USD 70,000 - 92,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Wellness plans

Paid time off and holidays

401(k) with company match

Commuter benefits

Job summary

SCI Summit Consulting, LLC in Georgia seeks a seasoned claims professional to manage workers’ compensation claims, conduct investigations, and negotiate settlements within authority. The role emphasizes accurate file maintenance and effective communication with insureds, claimants, and partners.

The position is on-site four days a week with one remote day, based in Gainesville, GA, with the option to work remotely in several states.

Qualifications

• Education: Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or related field or equivalent experience.
• Experience: Generally, a minimum of 5 years of experience in property and casualty claims handling.
• Scope and skills: Strong analytical, negotiation, and problem-solving abilities; knowledge of insurance policies, coverage, and claims handling procedures.

Responsibilities

• Manages an inventory of claims to evaluate compensability/liability.
• Plans and conducts claim investigations to confirm coverage and determine liability, compensability and damages.
• Negotiates settlements/reserves within assigned authority; may attend arbitrations, mediations, depositions, or trials.
• Communicates complex information regarding coverage and settlements to insureds, claimants, and external partners.
• Authorizes payments within authority limits and ensures timely processing.
• Maintains detailed claim files and related correspondence.

Job description

SCI Summit Consulting, LLC in Georgia seeks a seasoned claims professional to manage workers’ compensation claims, conduct investigations, and negotiate settlements within authority. The role emphasizes accurate file maintenance and effective communication with insureds, claimants, and partners.

The position is on-site four days a week with one remote day, based in Gainesville, GA, with the option to work remotely in several states.