Senior Claims Representative

Summit Insurance Group, Inc.•Gainesville, GA

34d•Hybrid

About The Position

It’s one thing to know workers’ comp. It’s another to know people. But knowing both? That creates an altogether different experience. So, if you’re ready for an altogether different workplace experience, get to know the people who know workers’ comp. Apply today. 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 of 3 days in the office and 2 days work from home.

Requirements

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.

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.
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.