Claims Representative (Hybrid)
: Job Details :

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

• Investigates and maintains claims:
  • Reviews and evaluates coverage and/or liability.
  • Secures and 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, and may attend arbitrations, mediations, depositions or trials as necessary.
• May affect settlements/reserves within prescribed limits and submit recommendations to supervisor on cases exceeding personal authority.
• Conveys simple to moderately complex information (coverage, decision, outcomes, etc.) to all appropriate parties, maintaining a professional demeanor in all situations.
• Ensures that claims payments are issued in a timely and accurate manner.
• Ensures that claims handling is conducted in compliance with applicable statues, regulations and other legal requirements, and that all applicable company procedures and policies are followed.
• Performs other duties as assigned.

Job RequirementsEducation: Bachelor's Degree or equivalent experience.Field of Study: Liberal Arts, Business or a related discipline.Experience: Generally, 6 months to 3 years of related experience.Workers Compensation license requiredTexas experience preferred but not requiredThis job is non-exempt in California, Colorado, New York, WashingtonCompany:SCI Summit Consulting, LLCBenefits: We offer competitive healthcare, retirement, and paid time off benefits for full-time and part-time benefit eligible employees.