Senior Claims Specialist
$69.6k - $92.4kSummit
Company SCI Summit Consulting, LLC 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. 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. 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. 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. #J-18808-Ljbffr Summit
$18.5 - $42.35 per hour
...Hispanic Alliance for Career Enhancement in North Carolina seeks a dedicated Medical Claims Specialist. This full-time role involves reviewing and adjudicating complex medical claims, ensuring compliance with policies and regulations, and mentoring team members. Candidates...SeniorHourly payFull time$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...SeniorWork at officeImmediate startRemote workVisa sponsorship$18.5 - $42.35 per hour
...Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines.... ...Responsibilities Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise. Applies...SeniorRemote jobHourly payFull timeWork experience placementLocal area$23.16 per hour
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Prime Therapeutics in Raleigh, NC is looking for a Senior Underwriter to achieve profit and growth through financial analysis and pricing strategies. This role requires evaluating complex customer financial experiences and providing support to various departments for pricing...SeniorRemote job$90k - $154k
Utica Mutual Insurance Company is seeking a Commercial Lines Underwriter to manage underwriting tasks for various commercial insurance policies including General Liability and Worker's Compensation. Candidates should have at least 5 years of experience in the field, with...SeniorFull time- ...Red Hat, Inc. is seeking a Senior Principal Software Engineer to lead initiatives in the Azure Red Hat OpenShift team. This high-impact role involves defining infrastructure patterns for ARO and guiding projects from concept to delivery, ensuring operational excellence...Senior
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- ...both inside and outside of a company office. This role will be located in Fayetteville, Greenville, Raleigh, or Wilmington, NC. The Senior Underwriter leads underwriting efforts by servicing commercial portfolios at the highest level of ability and complexity. Supports...SeniorWork at office
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Dormont Manufacturing Co is seeking a Performance Engineer (Sr. - Principal) located in Columbus, OH. This role involves providing engineering support for utility-scale wind facilities, resolving equipment reliability issues and analyzing operational data. Applicants should...Senior- Allstate Northern Ireland Limited is seeking an experienced Auto Field Adjuster to support claims in the Raleigh, NC area. The role requires creating damage estimates and negotiating settlements while maintaining documentation and organizational skills. Applicants should...SeniorRemote job
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- ...Bodily Injury Claims Representative A career at Auto-Owners is challenging and rewarding. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Auto-Owners Insurance, a top-rated insurance...Work at officeLocal areaRemote work
$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...Work at officeImmediate startRemote work$23 - $26 per hour
...Carrington is seeking a Loss Mitigation FHA Claims Specialist to work remotely from home. This role involves preparing and filing FHA home retention claims and following up on claim processes to ensure compliance with guidelines. Candidates should have a High School Diploma...Hourly payRemote workWork from home$132.8k - $219.1k
...Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range... ...bench strength. Field Severity Support: Some Complex Claim Specialists may be responsible for all or some of the following: Collaborate...Local area- 慨正橡扯 is seeking a Senior Principal Software Engineer based in North Carolina. In this role at JPMorganChase, you will provide deep engineering expertise and lead the development of market-leading technology products. You will work across agile teams to enhance and deliver...Senior
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...experience, escalates cases outside delegated authority, and supports WD5 financial close reporting on earned premium and incurred claims. Approves medical underwriting exceptions and financial variances within delegated authority; escalates cases to the Lead Director...SeniorHourly payFull timeTemporary workLocal area$168.15k - $277.35k
...secure Kubernetes distribution by designing security workflows across the full software development lifecycle. We are seeking a Senior Principal Software Engineer - product-minded, with strong backend, distributed systems, and AI-driven engineering experience - to...SeniorFlexible hours$77k - $202k
...Requirements: Up to 60% The Opportunity As a Property & Casualty Insurance Claims Operations Consultant, Sr. Associate, you will engage with... ...to help clients achieve their strategic objectives. As a Senior Associate, you will focus on building meaningful client connections...SeniorFull timeH1b- ...Sedgwick in the United States seeks a Claims Representative for remote workers compensation claims processing. The role involves determining benefits and ongoing adjudication of claims, requiring no prior experience but offering career development opportunities. Candidates...Remote workFlexible hours
- 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 jobWork from homeFlexible hours
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