Claims Manager (Hybrid)

Claims Manager (Hybrid) Location Hybrid remote in Gainesville, GA :

Headquartered in the Central Florida city of Lakeland, Summit employs over 700 office and field associates at its main location and regional offices in Baton Rouge, Louisiana, and Gainesville, Georgia. As the people who know workers' comp, we strive to provide an atmosphere of constant growth and development for our employees. Summit provides workers' compensation programs and services to thousands of employers throughout the Southeast. Summit is a member of Great American Insurance Group, a company that focuses on building relationships and linking people to various career paths. Whether it's underwriting, claims, accounting, IT, legal, or customer service, Great American Insurance Group combines a small-company entrepreneurial atmosphere with big- company expertise.

Essential Job Functions and Responsibilities

• Oversees activities within the Claims department. Provides file guidance:
  • Investigates and maintains claims:
    • Reviews and determines coverage and/or liability.
    • Secures/analyzes necessary information (i.e., reports, policies, appraisals, releases, statements, records, or other documents) in the investigation of claims.
  • Works toward the resolution of claims files, complaints and disputes and attends arbitrations, mediations, depositions, or trials as necessary.
  • May affect settlements/reserves within prescribed limits and submit recommendations to supervisor on cases exceeding personal authority.
  • Ensures that claims payments are issued in a timely and accurate manner.
  • Ensures that claims handling is conducted in compliance with applicable statutes, regulations, and other legal requirements, and that all applicable company procedures and policies are followed.
• Advises reporting staff on claim files and extends settlement authority as necessary after reviewing files.
• May establish reserves and make recommendations or reports for Corporate Claims or senior management.
• Coordinates the work activities within the unit.
• Ensures that the team meets performance targets.
• Responsible for performance and coaching of staff and decisions regarding talent selection, development, and performance management. Ensures new members of the team receive proper training.
• 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.

Job Requirements

Education: Bachelor's Degree or equivalent experience.

Field of Study: Liberal Arts, Business or a related discipline.

Experience: Generally, 5 to 8 years of related experience, including 1 to 3 years of leadership experience.

#LI-Hybrid

Company:

SCI Summit Consulting, LLC

Benefits:

We offer competitive healthcare, retirement, and paid time off benefits for full-time and part-time benefit eligible employees.