Workers' Comp Claims Specialist — Hybrid (4 days in office)

Summit; Kentucky; Hybrid; USD 70,000 - 92,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Wellness plans

Parental leave

Adoption assistance

Tuition reimbursement

Paid time off

Paid holidays

401(k) match

Employee stock purchase plan

Commuter benefits

Job summary

SCI Summit Consulting, LLC is seeking an experienced claims professional for a hybrid role based in the United States. The position involves managing claims inventories, conducting investigations, and negotiating settlements within authority limits.

The role supports on-site collaboration with our Gainesville, GA office and remote work options across several states, with a strong focus on customer service and regulatory compliance.

Qualifications

• Experience in property and casualty claims handling.
• Strong analytical, negotiation, and problem-solving abilities.
• Knowledge of insurance policies, coverage, and claims processes.
• Ability to build relationships and lead negotiations with insureds and external partners.

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, mediations, depositions, or trials.
• Conveys complex information regarding coverage and settlements to insureds, claimants, and external partners.
• Authorizes payments within assigned authority and ensures timely payments.
• Maintains accurate and detailed claim files and correspondence.

Skills

Analytical skills

Negotiation

Communication

Insurance knowledge

Claims handling

Education

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

Job description

SCI Summit Consulting, LLC is seeking an experienced claims professional for a hybrid role based in the United States. The position involves managing claims inventories, conducting investigations, and negotiating settlements within authority limits.

The role supports on-site collaboration with our Gainesville, GA office and remote work options across several states, with a strong focus on customer service and regulatory compliance.