Summit · 1 day ago
Senior Claims Representative Worker's Comp (Gainesville, GA or TN)
Gainesville, GA
Full-time
Hybrid
Senior Level
5+ years expSummit is a company headquartered in Lakeland, Florida, specializing in workers' compensation programs and services. They are seeking a Senior Claims Representative to manage claims, conduct investigations, and negotiate settlements while ensuring timely payments and maintaining detailed claim files.
Insurance
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 of 3 days in the office
Qualification
Required
Bachelor's Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience
Generally, a minimum of 5 years of experience in property and casualty claims handling
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
Preferred
Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC)
Benefits
Medical, dental, and vision coverage
Wellness plans
Parental leave
Adoption assistance
Tuition reimbursement
Paid Time Off
Paid holidays
A 401(k) plan with company match
An employee stock purchase plan
Commuter benefits
Company
Summit
Summit provides independent insurance agents and their clients with market-leading workers’ comp insurance and elite customer service.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Imani Sheila Newsome Camara
CEO
Richard Lawrence
Chief Executive Officer
Company data provided by crunchbase