Senior Workers’ Comp Claims Strategist

Summit; Gainesville (GA); Hybrid; USD 70,000 - 92,000; Full time

Benefits offered by this job

Medical, dental, and vision

401(k) with company match

Commuter benefits

Paid time off

Tuition reimbursement

Job summary

SCI Summit Consulting, LLC in Gainesville, GA seeks an experienced claims professional to manage an inventory of workers’ compensation claims, investigate coverage, determine liability, and negotiate settlements. You will handle authorizations, maintain detailed files, and collaborate with insureds and external partners.

Core in-office days are Tue–Thu with one remote day; candidates may work remotely in GA, IL, IN, KY, NC, SC, TN, or operate from Gainesville.

Qualifications

• Bachelor’s degree in Business Administration, Risk Management and Insurance, Finance, or related field.
• Generally, a minimum of 5 years of experience in property and casualty claims handling.
• Ability to organize and prioritize caseloads to ensure timely resolution of claims.
• Non-exempt status in CA and WA for this role.

Responsibilities

• Manages an inventory of claims to evaluate compensability/liability.
• Plans and conducts claim investigations to confirm coverage and determine liability, compensability, and damages.
• Determines and negotiates settlements/reserves within authority; may attend arbitrations or trials.
• Conveys complex information regarding coverage and settlements to insureds and claimants.
• Authorizes payments per authority limits and ensures timely disbursement.
• Maintains accurate claim files with correspondence, reports, and settlements.
• Great American culture emphasizes connection and relationships; hybrid work: 4 days in office, 1 day remote.
• Role based in Gainesville, GA with on-site or remote options across listed states.

Skills

Claims handling

Negotiation

Analytics

Communication

Education

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

Job description

SCI Summit Consulting, LLC in Gainesville, GA seeks an experienced claims professional to manage an inventory of workers’ compensation claims, investigate coverage, determine liability, and negotiate settlements. You will handle authorizations, maintain detailed files, and collaborate with insureds and external partners.

Core in-office days are Tue–Thu with one remote day; candidates may work remotely in GA, IL, IN, KY, NC, SC, TN, or operate from Gainesville.