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Senior Claims Specialist (Illinois)

Role overview

Qualifications

  • Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or related field
  • Minimum of 13 years of experience in property and casualty claims handling
  • Excellent analytical, negotiation, and problem-solving skills
  • Subject matter expert in insurance policies and claims handling procedures

Responsibilities

  • Manage a large inventory of complex claims to evaluate compensability/liability
  • Lead comprehensive claims investigations to confirm coverage and determine liability
  • Analyze and negotiate appropriate claim settlements/reserves
  • Maintain accurate and detailed claim files, ensuring timely disbursement

Key facts

Other skills

  • Negotiation
  • Analytical Skills
  • Communication
  • Problem Solving
  • Social Skills
  • Organizational Skills

About the company

Great American Insurance Company logo

Great American Insurance Company

Insurance

Based in Cincinnati, Ohio, the operations of Great American Insurance Group are engaged primarily in property and casualty insurance, focusing on specialty commercial products for businesses. We have more than 30 specialty property and casualty insurance businesses, and in 2021, approximately 50% of our gross written premium in our property and casualty operations was generated by business units with a Top 10 market ranking. Great American Insurance Company has received an "A" (Excellent) or higher rating from the AM Best Company for more than 110 years (most recent rating evaluation of "A+" (Superior) affirmed December 16, 2022). The members of Great American Insurance Group are subsidiaries of American Financial Group, Inc. (AFG), also based in Cincinnati, Ohio.

Company details

Company typeXLarge
IndustryInsurance
Company size5001 - 10000

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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.




Essential Job Functions and Responsibilities

  • Manages a large inventory of highly complex claims to evaluate compensability/liability.
  • Strategically orchestrates and leads comprehensive claims investigations to confirm coverage and to determine liability, compensability and damages.
  • Analyzes and negotiates appropriate claim settlements/reserves within prescribed authority. May attend arbitrations, mediations, depositions, or trials.
  • Conveys highly complex information regarding coverage and settlements to insureds, claimants, and external partners.
  • Authorizes payments in accordance with assigned authority limit, ensuring timely disbursement.
  • Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements.
  • May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports.
  • Performs other duties as assigned.
  • This role will be remote within the Illinois territory.

#LI-Remote

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 13 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).

Scope of Job/Qualifications: Works at the highest authority limits on assignments of the highest technical complexity and coordination. Excellent analytical, negotiation, and problem-solving skills. Demonstrates expert knowledge of insurance policies, coverage, and claims handling procedures. Maintains and leverages knowledge of industry laws and regulations.  Advanced 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. Recognized as a subject matter expert within the company, potentially operating at a peer level to management.

Company:

SCI Summit Consulting, LLC


Salary Range:

$101,000.00 -$137,000.00

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.

 

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.

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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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