Senior Workers' Comp Claims Specialist (Hybrid/Remote)

Great American Insurance Group; Gainesville (GA); Hybrid; USD 70,000 - 92,000; Full time

Benefits offered by this job

Medical, dental, vision

401(k) with match

Paid time off

Stock purchase plan

Commuter benefits

Job summary

SCI Summit Consulting, LLC is seeking an experienced Senior Claims Manager to oversee a large portfolio of complex workers’ compensation claims. You will evaluate compensability and liability, lead investigations, and negotiate settlements within authority, while maintaining detailed files and communicating findings to insureds and partners.

The role supports a hybrid work arrangement, headquartered around the Gainesville, GA area and regional remote options across GA, IL, TN, IN, SC, KY, NC.

Qualifications

• Minimum of 9 years of experience in property and casualty claims handling.
• Bachelor’s degree or equivalent in a related field.
• Professional designation such as Associate in Claims (AIC) preferred or in progress.
• Strong knowledge of insurance policies, coverage, and claims handling procedures.

Responsibilities

• Manages 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.
• Analyzes and negotiates appropriate claim settlements/reserves within prescribed authority.
• May attend arbitrations, mediations, depositions, or trials.
• Conveys complex information regarding coverage and settlements to insureds, claimants, and external partners.

Skills

Analytical skills

Negotiation skills

Problem-solving

Interpersonal communication

Leadership/mentoring

Education

Bachelor’s degree in Business Administration, Risk Management and Insurance, Finance, or related field

AIC designation (preferred or in progress)

Job description

SCI Summit Consulting, LLC is seeking an experienced Senior Claims Manager to oversee a large portfolio of complex workers’ compensation claims. You will evaluate compensability and liability, lead investigations, and negotiate settlements within authority, while maintaining detailed files and communicating findings to insureds and partners.

The role supports a hybrid work arrangement, headquartered around the Gainesville, GA area and regional remote options across GA, IL, TN, IN, SC, KY, NC.