Senior Workers’ Comp Claims Specialist (Hybrid/Remote)

Summit; Pleasant Home (KY); Hybrid; USD 79,000 - 107,000; Full time

Benefits offered by this job

Medical, dental & vision benefits

401(k) with company match

Paid time off & holidays

Tuition reimbursement

Commuter benefits

Employee stock purchase plan

Job summary

SCI Summit Consulting, LLC is seeking a senior claims professional to manage a large inventory of complex property and casualty claims. The role focuses on evaluating liability and coverage, conducting investigations, and negotiating settlements within authority while coordinating with insureds and external partners.

The position requires a minimum of 9 years’ experience and a related degree, with potential for leadership duties and staff coaching.

Qualifications

• Minimum of 9 years of experience in property and casualty claims handling.
• Completion of or progress toward a professional designation such as Associate in Claims (AIC).
• Advanced ability to organize and prioritize caseloads.
• Excellent interpersonal and communication skills with the ability to build relationships and lead negotiations.
• 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.
• Authorizes payments in accordance with assigned authority limit and ensures payments are made in a timely manner.
• 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.
• Performs other duties as assigned.
• Hybrid schedule out of Gainesville, GA office or remotely from one of the states in our Southeast region including GA, IL, TN, IN, SC, KY, NC.
• Great American’s core in-office days are Tue–Thu with one remote day; on-site four days a week is expected.

Skills

Analytical skills

Negotiation

Leadership

Communication skills

Education

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

Job description

SCI Summit Consulting, LLC is seeking a senior claims professional to manage a large inventory of complex property and casualty claims. The role focuses on evaluating liability and coverage, conducting investigations, and negotiating settlements within authority while coordinating with insureds and external partners.

The position requires a minimum of 9 years’ experience and a related degree, with potential for leadership duties and staff coaching.