Claims Specialist
$69.6k - $92.4kGreat American Insurance Group
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.
- ...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,...SuggestedWork at officeLocal areaWork from home
- ...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. We offer a merit-based work-from-home program...SuggestedWork at officeLocal areaWork from home3 days per week
$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...SuggestedLocal area$59.06k - $90k
...moments that matter most. Grow Your Skills, Grow Your Potential Responsibilities Join our team as a Property Field Inspection Claim Specialist and showcase your expertise in handling accident and weather-related claims for homeowners, commercial properties, and large losses...SuggestedWork experience placementWork at officeLocal areaRemote workWork from homeFlexible hours$21 per hour
W e are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in Louisville, KY. This will be a Full-Time position. This... ...The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims...SuggestedFull timeTemporary workWork experience placementRelocation packageFlexible hoursShift work- ...Kentucky Farm Bureau Insurance is seeking a Claim Representative for the PIP Unit in Louisville. The role handles no-fault PIP claims from Kentucky offices, ensuring efficient processing and timely payment of benefits. The position requires taking assignments from adjusters...Work at office
- ...A healthcare service provider located in Louisville, Kentucky is seeking an Entry-Level Medical Claims Processor. This full-time role involves processing medical copay claims, collaborating with various teams, and ensuring timely submissions. Ideal candidates should have...Full time
- ...A leading claims administration company is seeking a Senior Claims Specialist for a remote position. The ideal candidate will analyze and manage complex professional liability claims, including E&O, D&O, and EPL. You will need a bachelor's degree, at least six years of...Remote work
$117k - $184.4k
AXA XL is an Equal Opportunity Employer. Senior Claims Specialist, TPA Liability Exton, PA, Hartford, CT; New York, NY; Los Angeles, CA; Atlanta, GA; Dallas, TX, Chicago, IL, Morristown, NJ and Boston, MA Our Claims team sets us apart. Our experienced Claims professionals...Flexible hours$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 timeTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorship- ...CNA Insurance in Louisville, KY, seeks a technical expert for the Claim Quality team. The role involves reviewing and evaluating claim files to ensure quality outcomes and identifying best practices. A 12–24 month rotational development path may be offered. The position...Flexible hours
$15 - $16 per hour
...Job Description Job Description Position Overview We are seeking a Claims Support Specialist II to provide administrative and customer support within a fast-paced claims environment. This role is ideal for entry-level candidates or individuals with a customer service...Contract workTemporary workCasual workWork at office- ...OrthoCincy seeks a dedicated Worker’s Compensation Administrator to handle all aspects of claims processing and information intake. You will manage pre-authorizations, track statuses, and coordinate with employers, nurse case managers, and insurance carriers to ensure...
- ...dedicated individual to handle all aspects of the worker’s compensation process. The role involves managing incoming calls, verifying claims, and maintaining effective relationships with patients and other stakeholders. Ideal candidates will have a high school diploma,...
- ...Claims Adjuster MSIG USA continues to grow! MSIG USA is the US-based subsidiary of MS&AD Insurance Group Holdings, Inc., one of the world's top P&C carriers and a global Class 15 insurer, with A+ ratings and a reach that spans 40+ countries and regions. Leveraging...Temporary workWork experience placementLocal areaFlexible hours
- ...Sedgwick is seeking a Liability Claims Adjuster to analyze claims and determine benefits for a dedicated client with capped caseloads. This role includes negotiating settlements and communicating effectively with clients. Strong jurisdictional knowledge of CA, FL & NY...Remote workFlexible hours
$88.69k - $141.68k
...matching of your charitable gifts each year. POSITION SUMMARY Supervises, trains, and monitors the activities of assigned claims adjusters and other claims personnel. Assists the Claims Leadership in the overseeing and handling of claims. * This is an in...Full timeLive inWork at officeRemote workWork from home$50k - $55k
...Sedgwick is seeking a claims analyst in Lexington, KY, to process and analyze auto and transportation claims. The role involves maintaining professional relations and requires a minimum of three years in claims management. The ideal candidate should have a Bachelor's...$86.25k - $172.5k
Job ID: R223137Posted: 2026-07-27Location: OH - Cincinnati (45202); IL - Chicago; DC - Washington; GA - Atlanta; FL - Tampa; OR - Portland; KY - Louisville; TX - Dallas; CA - Calabasas; CA - San Francisco; OH - Cleveland; AZ - Phoenix; KS - Overland Park; MA - Boston; CA...Full timeTemporary workPart timeWork experience placementWork at office- ...Claims And Program Representative As a Claims and Program Representative, you will: Handle calls through the Nationwide Toll-Free Service (NTFS) which may come from any area within the network or from another network. Develop and maintain liaison with railroad employers...Work at officeLocal area
- ...Description There are multiple positions open across the 26 states in which we operate. The current locations for which we are seeking CAT Claim Reps are located in the job posting. Auto-Owners Insurance, a top-rated insurance carrier, is seeking an experienced and motivated...Local area
$7.25 per hour
...Hours Per Week 40 Number Of Positions 1 Work Schedule and Shift Requirements First (Day) Job Description Job Title: Claims Examiner Job Type: Full Time Grade: H Function/Department: Health Plan and Healthcare Services Reporting to: Team...Hourly payFull timeWork experience placementShift work$72k - $141k
...potential. CNA is one of the premier providers of professional liability insurance. CNA Financial Lines has an opening for a Complex Claims Consultant handling Employment Practice Liability, Private and NFP D&O claims. This individual will work with insureds, attorneys...Full timeWork experience placementWork at officeLocal areaRemote workShift work- Job Announcement This position is located in the Railroad Retirement Board's Field Service. The incumbent will be responsible for providing a full-range of client services regarding benefits available under the various programs administered by the RRB. This job announcement...Local area
$7.25 per hour
...clients' financial outcomes today and drive down healthcare costs tomorrow. As part of theComplex Payment Solutions Team, you will, as a Claims Administrator, be responsible for supporting efficient claims processing and ensuring data accuracy throughout the review and...Hourly payFull timeTemporary workWork at officeRemote workFlexible hoursShift work$21 per hour
...activities for U.S. healthcare clients. This position will play a critical role in reviewing medical documentation associated with claim disputes and determining whether diagnosis codes submitted by providers are appropriate, sufficiently specific, and compliant with...Hourly payFull timeCasual workWork at officeMonday to FridayRotating shift$15 - $16 per hour
...Job Description Job Description Claims Support Specialist Lexington, KY (Onsite) 6-Month Contract | Monday-Friday, 8:00 AM-4:30 PM Pay: $15-$16/hour TEKsystems is partnering with Erie Insurance to hire a Claims Support Specialist for their Lexington, KY...Contract workTemporary workWork at officeMonday to Friday$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 workFor contractorsWork at officeLocal area- Westcor Land Title Insurance is looking for an Underwriting Counsel based in Indianapolis, Indiana. This role involves providing underwriting support, examining title orders, and assisting clients with real estate transactions. Candidates should have over 5 years of experience...
- General Summary/Purpose This position works under the direction of the Director of Credit Services and with the Relationship Managers to provide financial and cash flow analysis, collateral analysis, and prepare loan approval packages for the appropriate approval authorities...
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