Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Claims Specialist

$69.6k - $92.4k

Summit Insurance Group, Inc.

Summit provides independent insurance agents and their clients with market-leading workers’ comp insurance and elite customer service. We’re growing and currently serve more than 7,000 independent agents and 31,000 policyholders across the South, Midwest, and Mid-Atlantic. Our strength comes from a single-minded focus on workers’ comp and a commitment to long-term customer relationships. Summit is who you turn to when you need a specialist who not only knows workers’ comp but also gets to know your business and your priorities. Our field team members are located in every state in which we operate. Summit is a member of the Great American Insurance Group where our highest goal is for all employees to feel included, respected, and empowered to perform at their best. Essential Job Functions and Responsibilities Manages an inventory of claims to evaluate compensability/liability. Plans and conducts claim investigations to confirm coverage and to determine liability, compensability and damages. Determines and negotiates appropriate claim settlements/reserves within prescribed authority. May attend arbitrations, mediations, depositions, or trials. Conveys moderately 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. Performs other duties as assigned. Great American’s culture is built on connection, shared learning, and strong relationships. To support this, employees in this role are expected to be on-site four days a week, with the flexibility to work one day remotely. Core in-office days are Tuesday–Thursday, with the fourth day determined by business needs. The person hired for this position will work out of the Gainesville, GA office which offers a hybrid work environment (4 days in office, 1 day remote) or will work remotely in the following states: Georgia, Illinois, Indiana, Kentucky, North Carolina, South Carolina, Tennessee. #LI-Remote Job Requirements Education: Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience. Experience: Generally, a minimum of 5 years of experience in property and casualty claims handling. Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC). Scope of Job/Qualifications: Works within significant limits and authority on assignments of higher technical complexity and coordination. Demonstrates strong analytical, negotiation, and problem-solving skills. Demonstrates knowledge of insurance policies, coverage, and claims handling procedures. Maintains knowledge of industry laws and regulations. Demonstrates ability to organize and prioritize caseloads, ensuring timely resolution of claims. Excellent interpersonal and communication skills with the ability to build relationships and lead negotiations. Proven ability to handle confidential information with discretion. This job is non-exempt in California and Washington Company: SCI Summit Consulting, LLC

Salary Range: $69,600.00 -$92,400.00 Benefits: We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits. Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at *Excludes seasonal employees and interns.
Vacancy posted 10 hours ago
Similar jobs that could be interesting for youBased on the Claims Specialist in Raleigh, NC vacancy
  •  ...defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated individual to join our Claims department as a Bodily Injury Claims Representative. The position requires the person to Assemble facts, determine coverage,... 
    Suggested
    Work at office
    Local area
    Work from home

    Auto-Owners Insurance

    Raleigh, NC
    1 day ago
  • $100k - $125k

     ...Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Professional Liability | E&O, D&O, EPL | Remote Primary Purpose To analyze complex or technically difficult errors and... 
    Suggested
    Work at office
    Local area
    Remote work
    Flexible hours

    Sedgwick Law

    Raleigh, NC
    1 day ago
  •  ...Sedgwick Claims Management Services Ltd is seeking a Liability Claims Representative in North Carolina. The role involves analyzing GL, BI, Auto, and Premise claims, negotiating settlements, and communicating with clients. Candidates should have a minimum of 3 years of... 
    Suggested
    Remote work

    Sedgwick Claims Management Services

    Raleigh, NC
    5 days ago
  • $60.6k - $95.7k

     ...IAT Insurance Group has an immediate opening for a Management Liability Claims Specialist that can be located in any of our IAT locations. This role works a hybrid schedule that requires working from the office Monday through Wednesday, with the option of working Thursday... 
    Suggested
    Work at office
    Immediate start
    Remote work

    IAT Insurance Group

    Raleigh, NC
    2 days ago
  • $60.6k - $120k

     ...Management Liability Senior Claims Specialist IAT Insurance Group has an immediate opening for a Management Liability Senior Claims Specialist that can be located in any of our IAT locations. This role works a hybrid schedule that requires working from the office Monday... 
    Suggested
    Work at office
    Immediate start
    Remote work
    Visa sponsorship

    IAT Insurance Group

    Raleigh, NC
    5 days ago
  • $45.76k - $73.22k

    Job Description The Claims Operations Expert is a subject matter expert that enables accelerated claims resolution and production support to manage inventory. Resolve escalated claims from less experienced team members following the formal escalation protocol. Manage work... 
    Work at office
    Local area
    Immediate start
    Remote work
    Flexible hours
    2 days per week

    Blue Cross and Blue Shield of North Carolina

    Raleigh, NC
    2 days ago
  • A managed care organization serving North Carolina is seeking a Claims Relations Coordinator to handle claims issues and support the provider community. The ideal candidate will manage claims inquiries and ensure timely resolutions. Qualifications include a high school... 
    Remote job
    Work from home
    Flexible hours

    Trillium Health Resources

    Raleigh, NC
    4 days ago
  • $19 - $21 per hour

     ...dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. As a claims administrative support specialist, you’ll play a vital role supporting our claims branch offices. In addition to ensuring essential administrative functions... 
    Temporary work
    Work at office
    Monday to Friday
    Flexible hours

    Progressive Service Company

    Raleigh, NC
    5 days ago
  •  ...Construction Partners, Inc. ("CPI") is seeking a motivated, detail-oriented, self-directed Claims Administrator to join its Risk Department to help administer auto and/or general liability claims. CPI is a vertically integrated civil infrastructure company operating across... 
    Work at office
    Local area

    Sodoma Law

    Raleigh, NC
    2 days ago
  • Claims Examiner - Workers Compensation ARE YOU AN IDEAL CANDIDATE? To analyze complex or technically difficult workers’ compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication... 
    Work at office
    Local area
    Flexible hours

    Dormont Manufacturing Company

    Raleigh, NC
    1 day ago
  •  ...Overview Claims Administrator position in Raleigh, NC at Construction Partners, Inc. (CPI). CPI is a vertically integrated civil infrastructure company operating across eight southeastern states, supported by hot-mix asphalt plants, aggregate facilities and liquid asphalt... 
    For contractors
    Work at office
    Local area

    Construction Partners Inc

    Raleigh, NC
    2 days ago
  • $50 - $60 per hour

     ...Join to apply for the Claims Adjuster role at DataAnnotation . We are looking for a Claims Adjuster to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of each model.... 
    Hourly pay
    Full time
    Contract work
    Part time
    Remote work
    Flexible hours

    DataAnnotation

    Raleigh, NC
    2 days ago
  • $18.37 - $23.99 per hour

     ...Job Title Dental Claims Specialist Department Dentistry | Dental Faculty Practice Job Description The Ohio State University College of Dentistry is seeking a Patient Revenue Cycle Senior Coordinator for its affiliated Ohio State Dental Faculty Practice (DFP). When our... 
    Work experience placement
    Monday to Friday
    Shift work
    Day shift

    Dormont Manufacturing Company

    Raleigh, NC
    9 days ago
  • Join Ally as a Consumer Underwriter where you will evaluate and negotiate consumer offerings, enhancing portfolio revenue through strong dealer relationships. You will leverage your sales and negotiation skills in a remote role, requiring flexibility for evening hours ...
    Remote work
    Afternoon shift

    Ally

    Raleigh, NC
    4 days ago
  • Criterion Executive Search is seeking a Commercial Binding Authority underwriter to work in the Carolinas and surrounding areas. This role involves helping build the organization and establishing a new branch. The position allows remote work but is limited to the Carolinas...
    Remote work

    Criterion Executive Search

    Raleigh, NC
    3 days ago
  • $62.7k - $94.62k

     ...single-minded focus on workers’ comp and a commitment to long-term customer relationships. Summit is who you turn to when you need a specialist who not only knows workers’ comp but also gets to know your business and your priorities. Our field team members are located in... 
    Full time
    Part time
    Seasonal work
    Work at office
    Remote work

    Summit

    Raleigh, NC
    4 days ago
  • $62.7k

     ...identifying opportunities and concerns. Calculate rates utilizing company rating algorithms, adjusting accordingly to cover questionable claim patterns or unusual situations not otherwise contemplated within the standard formula. Maintain accurate book management details,... 
    Contract work
    Work at office
    Local area

    Highmark Health

    Raleigh, NC
    3 days ago
  • A leading construction insurance provider is seeking a Large Account Underwriting Specialist to join their remote team. The ideal candidate will have a bachelor's degree and 5-7 years of underwriting experience in commercial lines. Responsibilities include managing large... 
    Remote work

    Builders Mutual

    Raleigh, NC
    2 days ago
  • M/I Homes has been building new homes of outstanding quality and superior design for more than 40 years. Founded in 1976 by Irving and Melvin Schottenstein and guided by Irving’s drive to always “treat the customer right,” we have fulfilled the dreams of over 140,000 homeowners...
    Immediate start

    M/I Homes

    Raleigh, NC
    1 day ago
  •  ...features. Results-Driven HR Professional | Delivering Strategic Talent Solutions & Business Results Job Title: Technical Specialist- Expert (HB, PB, Claims Analyst) Job Location: North Carolina Job Type: Remote Duration: 1 year Responsibilities: Test system changes to... 
    Hourly pay
    Contract work
    Remote work

    Infostride

    Raleigh, NC
    2 days ago
  • $23.16 per hour

     ...Company: Highmark Inc. Job Description: This job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for building positive client relationships, providing... 
    For contractors
    Work at office
    Local area

    Highmark Health

    Raleigh, NC
    2 days ago
  •  ...new start when a loss occurs. Job Description Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims trainee to join our team. This job handles entry-level insurance claims under close supervision through the life-cycle of a claim including... 
    Traineeship
    Local area

    Auto-Owners Insurance Group

    Raleigh, NC
    4 days ago
  • $63.4k - $85k

     ...Claims Examiner - Workers Compensation (Remote) Primary Purpose of the Role We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. Are You an Ideal Candidate... 
    Remote work
    Flexible hours

    Sedgwick

    Raleigh, NC
    2 days ago
  •  ...industry.Knowledge Skills and Abilities/Management PreferencesProperty & Casualty insurance experience required, including underwriting, claims, policyholder services, or an equivalent combination of education and experience.Strong analytical and critical-thinking skills... 
    Work at office
    Remote work
    Night shift

    State of North Carolina

    Raleigh, NC
    1 day ago
  • A leading insurance company in Raleigh is seeking an Underwriter to analyze and manage risks, develop broker relationships, and ensure adherence to underwriting standards. The ideal candidate will have at least 2 years of experience in Excess and Surplus lines and possess...
    Full time
    Visa sponsorship
    Work visa

    James River Insurance Company

    Raleigh, NC
    3 days ago
  • $67.63k - $90.46k

     ...Claims Manager Location: Remote within North Carolina. FLSA Status: Exempt. Cost Center: 4300/Claims. Position Number: 80744. Make an Impact Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We... 
    Immediate start
    Remote work
    Work from home
    Flexible hours

    Trillium Health Resources

    Raleigh, NC
    4 days ago
  • $63.4k - $85k

    A leading claims management firm is seeking a remote Claims Examiner to analyze workers compensation claims and ensure timely adjudication. The ideal candidate will have at least 5 years of claims management experience and strong negotiation skills. This position offers... 
    Remote work
    Flexible hours

    Sedgwick

    Raleigh, NC
    2 days ago
  • $80k - $90k

     ...Role Overview This role requires an individual to analyze Lost‑Time Workers Compensation claims on behalf of clients to determine benefits due and ensure ongoing adjudication within service expectations, industry best practices, and specific client service requirements... 
    Remote work
    Flexible hours

    Sedgwick

    Raleigh, NC
    2 days ago
  • $45 per hour

    Our client, a leading organization in the financial services industry, is seeking a Contract Administrator to join their team. As a Contract Administrator, you will be part of the procurement and legal support team, working collaboratively to ensure the integrity and clarity...
    Weekly pay
    Contract work
    Temporary work
    Remote work
    Flexible hours

    ManpowerGroup Global, Inc.

    Raleigh, NC
    1 day ago
  • A leading organization in the financial services industry is seeking a Contract Administrator to join their team in Raleigh, NC. This role involves reviewing and analyzing vendor contracts, ensuring clarity and integrity in contract terms. Ideal candidates will have a ...
    Contract work

    ManpowerGroup Global, Inc.

    Raleigh, NC
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Claims Specialist. Be the first to apply!