Summit

Claims Representative (Medical Only)

Summit  •  Baton Rouge, LA (Onsite)  •  3 hours ago
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Job Description

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.

Essential Job Functions and 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.

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 6 months 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 specific limits and authority on assignments of moderate technical complexity and coordination. 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.

This job is non-exempt in California and Washington

Company:

SCI Summit Consulting, LLC

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 http://www.gaig.com/careers

*Excludes seasonal employees and interns.

Summit

About Summit

Summit provides independent insurance agents and their clients with market-leading workers’ comp insurance and elite customer service. We’re growing, currently serving more than 7,000 independent agents and 31,000 policyholders across 15 states in 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. We’re not a faceless corporation with distant headquarters. We’re part of the fabric of local communities.

As the world becomes increasingly impersonal, Summit offers a customer experience based on relationships and personal service. You’ll always be able to speak to a real human being. You’ll always receive timely answers you can trust.

Insurance agents, policyholders, and injured employees can count on three things from Summit:

1) More Access. Our team members are not only masters in the field but they’re easy to reach and highly responsive when you need answers.

2) More Know-how. You’ll get better answers from real experts and industry veterans who know workers’ comp, your business, your customers, and your region.

3) More Commitment. You’ll have collaborators who go the extra mile to serve you and who are willing to solve problems that others usually can’t.

Summit manages affiliates, Bridgefield Casualty Insurance Company, Bridgefield Employers Insurance Company, and Bridgefield Indemnity Insurance Company, and nonaffiliates, BusinessFirst Insurance Company, RetailFirst Insurance Company, and Retailers Casualty Insurance Company.

Summit is a member of Great American Insurance Group and a subsidiary of American Financial Group, Inc (AFG). AFG’s common stock is listed and traded on the New York Stock Exchange under the symbol AFG.

Industry
Finance & Insurance
Company Size
501-1,000 employees
Headquarters
Lakeland, Florida
Year Founded
Unknown
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