jobapplier

Medical Only Claims Representative

GAIG

Skills

Required

  • organize and prioritize caseloads

Preferred

  • May
  • authorize payments

About GAIG

  • 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.

Responsibilities

  • 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.
  • This role is remote in Illinois.

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

Pay

  • 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.

Benefits

  • SCI Summit Consulting, LLC Salary Range: $56,400.00 -$75,600.00 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.
  • Learn more at http://www.gaig.com/careers . *Excludes seasonal employees and interns.