Senior Workers' Comp Claims Specialist (Hybrid/Remote)

Great American Insurance Company; Gainesville (GA); Hybrid; USD 79,000 - 107,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Coverage

401(k) matching

Paid Time Off

Job summary

SCI Summit Consulting, LLC in Gainesville, GA is seeking a Senior Claims Specialist to manage a large inventory of complex workers' compensation claims and determine liability, compensability, and damages.

The role requires 9+ years of property and casualty claims handling, strong negotiation and analytical skills, and the ability to coach others. This hybrid position combines on-site four days a week with one remote day.

Qualifications

• Bachelor's degree in Business Administration, Risk Management and Insurance, Finance, or related field.
• Minimum 9 years of property and casualty claims handling.
• Completion of or progress toward AIC preferred.
• Strong knowledge of insurance policies and claims handling procedures.

Responsibilities

• Manage a large inventory of complex claims and evaluate compensability.
• Conduct complex investigations to confirm coverage and determine liability and damages.
• Analyze and negotiate settlements within prescribed authority; may attend arbitrations or trials.
• Convey complex information regarding coverage and settlements to insureds and external partners.
• Authorize payments within authority and ensure timely payments.
• Maintain detailed claim files and correspondence.
• May coach staff and participate in talent decisions.

Skills

Claims handling

Analytical thinking

Negotiation

Communication

Leadership

Discretion

Education

Bachelor's Degree

Job description

SCI Summit Consulting, LLC in Gainesville, GA is seeking a Senior Claims Specialist to manage a large inventory of complex workers' compensation claims and determine liability, compensability, and damages.

The role requires 9+ years of property and casualty claims handling, strong negotiation and analytical skills, and the ability to coach others. This hybrid position combines on-site four days a week with one remote day.