Claims Specialist

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.

About the role

Our field team members are located in every state in which we operate. 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. Core in-office days are Tuesday–Thursday, with the fourth day determined by business needs.

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.

Requirements

• Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience.
• 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).
• Strong analytical, negotiation, and problem-solving skills.
• Knowledge of insurance policies, coverage, and claims handling procedures.
• Knowledge of industry laws and regulations.
• 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.

Pay

Salary Range: $69,600.00 - $92,400.00

Benefits

We offer competitive benefits packages for full-time and part-time employees*.

• Medical, dental, and vision coverage
• Wellness plans
• Parental leave and adoption assistance
• Tuition reimbursement
• Paid Time Off and paid holidays
• 401(k) plan with company match
• Employee stock purchase plan
• Commuter benefits

*Excludes seasonal employees and interns.