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 2 days ago
Similar jobs that could be interesting for youBased on the Claims Specialist in Raleigh, NC vacancy
  • $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... 
    Suggested
    Local area

    Travelers Insurance

    Raleigh, NC
    12 hours ago
  • $56.27k - $69.9k

     ...Pay Plan Title: Claims Specialist III Working Title: Claims Specialist III FLSA Status: Exempt Posting Salary Range: $56,270 - $69,898 Office Location: Remote within North Carolina POSTING DETAILS: Make an Impact Trillium Health Resources is a Tailored Plan and Managed... 
    Suggested
    Work at office
    Local area
    Immediate start
    Remote work
    Work from home
    Flexible hours

    Socket

    Raleigh, NC
    1 day ago
  • Review and process Wellness, Accident, and Vision insurance claims Determine the nature and validity of claims by reviewing policy status and supporting documents Provide prompt customer service to policy holders and providers regarding claims Document phone calls and... 
    Suggested
    Work experience placement
    Work at office

    Jobtailor

    Raleigh, NC
    3 days ago
  •  ...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

    Jobtailor

    Raleigh, NC
    3 days ago
  • $69.6k - $92.4k

     ...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...  ...Essential Job Functions And Responsibilities Manages an inventory of claims to evaluate compensability/liability. Plans and conducts claim... 
    Suggested
    Full time
    Part time
    Seasonal work
    Work at office
    Remote work

    Summit

    Raleigh, NC
    1 day 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... 
    Work at office
    Immediate start
    Remote work
    Visa sponsorship

    IAT Insurance Group

    Raleigh, NC
    1 day ago
  • $75.8k - $124.1k

     ...Sr. Claims Specialist, Workers Compensation 135736 What can happen when you grow your career? Now's the time to take the next step and make a difference. At Zurich, we want your ideas and experiences to help us grow and create lasting change. Know someone who would... 
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Local area
    Remote work
    Visa sponsorship

    Zurich NA

    Raleigh, NC
    12 hours ago
  • $60.6k - $120k

     ...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 through Wednesday, with the option of working... 
    Work at office
    Immediate start
    Remote work
    Visa sponsorship

    IAT Insurance Group

    Raleigh, NC
    12 hours 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 work
    Work from home
    Flexible hours

    Trillium Health Resources

    Raleigh, NC
    12 hours ago
  • Job Description Provide administrative support for the Commercial banking team within the region to ensure a consistent level of customer service for banking clients. Develop client relationships, acting as a resource for commercial customers, to open accounts as needed...
    Work experience placement
    Work at office

    Carterbankandtrust

    Raleigh, NC
    1 day ago
  • $86.25k - $158.13k

    Job ID: R231214Posted: 2026-08-02Location: PA - Philadelphia (19103); NC - Raleigh (27601); OH - Cleveland (44114); PA - Pittsburgh (15222)Salary: $86,250.00 - $158,125.00Type: Full timeCountry: United States of AmericaCompany: PNCPosition OverviewAt PNC, our people are...
    Full time
    Temporary work
    Part time
    Work experience placement
    Work at office

    The PNC Financial Services Group

    Raleigh, NC
    1 day ago
  • $91k - $202.8k

    Job ID: R228428Posted: 2026-07-21Location: CA - San Francisco (94111); MA - Boston (02110); Home Location-CA (CAH01); Home Location-NC (NCH01); NC - Charlotte (28210); Home Location-MA (MAH01); NC - Raleigh (27601); CA - Pasadena (91101); Home Location-NY (NYH01); NY - ...
    Full time
    Temporary work
    Part time
    Work experience placement
    Work at office
    Remote work
    Work from home

    The PNC Financial Services Group

    Raleigh, NC
    4 days ago
  • $99k - $232k

     ...SectorInsuranceSpecialismOperationsManagement LevelManagerJob Description & SummaryThe OpportunityAs a Property & Casualty Insurance Claims Operations Consultant, Manager, you will play a pivotal role in helping clients optimize their operational efficiency within our P&... 
    Full time
    H1b

    PwC

    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
    3 days ago
  • Eliassen Group seeks a Regulatory Reporting - Product Owner to modernize Call Reporting data and processes focused on FR Y-9C, FR Y-14A, FR Y-14M, FR Y-14Q. Own product vision, backlog, and governance across releases with enterprise stakeholders. You will lead Agile delivery...

    Eliassen Group

    Raleigh, NC
    1 day 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
    For contractors
    Work at office
    Local area

    Highmark Health

    Raleigh, NC
    3 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
    4 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
    12 hours ago
  •  ...A leading insurance firm is seeking a Trucking Underwriting Specialist to manage a portfolio of logging and forestry trucking risks. Responsibilities include underwriting new and renewal submissions, evaluating risks, and collaborating with agency partners. Candidates... 

    Forestry Mutual Insurance Company

    Raleigh, NC
    12 hours ago
  • Amerilife Group, LLC in North Carolina is looking for an insurance Underwriter to evaluate and negotiate insurance risks. The role involves managing complex cases while ensuring exceptional service and maintaining communication with agents and carriers. The ideal candidate...

    AmeriLife

    Raleigh, NC
    1 day ago
  • Overview This is a hybrid role, where the working schedule will occur both inside and outside of a company office. This role will be located in Fayetteville, Raleigh, or Wilmington, NC. This Commercial Underwriter II supports the commercial lending team by underwriting...
    Work at office

    First Citizens Bank

    Raleigh, NC
    4 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
    3 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
  • 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
    1 day ago
  • $50k - $55k

     ...Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto | Property Damage PRIMARY PURPOSE OF THE ROLE: To analyze and process low to mid-level auto and transportation... 
    Contract work
    Work at office
    Local area
    Flexible hours

    Sedgwick

    Raleigh, NC
    3 days ago
  • $50k - $55k

     ...Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto PRIMARY PURPOSE OF THE ROLE: To analyze and process low to mid-level auto and transportation claims. ESSENTIAL... 
    Contract work
    Work at office
    Local area
    Flexible hours

    Sedgwick

    Raleigh, NC
    2 days ago
  • $23.16 per hour

     ...Job Description : JOB SUMMARY 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
    3 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
  •  ...Cannon Cochran Management Services, Inc. (CCMSI) is seeking an experienced Workers’ Compensation Claim Adjuster for a hybrid role based in Jackson, MS. You will investigate, evaluate, and manage a portfolio of 100–125 workers’ compensation claims across multiple client... 

    Cannon Cochran Management Services, Inc.

    Raleigh, NC
    2 days 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
    4 days ago

Do you want to receive more vacancies?

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