Claims Representative (Medical Only)

Great American Insurance Company•Baton Rouge, LA

4d•Hybrid

About The Position

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. 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.

Requirements

Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience.
Generally, a minimum of 6 months of experience in property and casualty claims handling.
Demonstrates functional analytical, negotiation, and problem-solving skills.
Demonstrates knowledge of insurance policies, coverage, and claims handling procedures.
Develops and maintains knowledge of industry laws and regulations.
Demonstrates ability to organize and prioritize caseloads, ensuring timely resolution of claims.
Strong interpersonal and communication skills with the ability to build relationships and handle negotiations.
Proven ability to handle confidential information with discretion.

Nice To Haves

Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC).

Responsibilities

Manages an inventory of claims to evaluate compensability/liability.
Conducts claim investigations to confirm coverage and to determine liability, compensability and damages.
Determines and may negotiate appropriate claim settlements/reserves within prescribed authority.
May attend arbitrations, mediations, depositions, or trials.
Conveys routine to moderately complex information regarding coverage and settlements to insureds, claimants, and external partners.
May authorize 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.