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Senior Claim Representative

Senior Claim Representative

Job ID 
22566
# Positions 
1
Location 
US-GA-Gainesville
Posted Date 
11/7/2017
Category 
Claims
Position Type 
Full Time
Travel Percentage 
..

Job Information

Overview

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.

Responsibilities

  • Investigates and maintains claims:
  • Reviews and evaluates coverage, compensability and / or liability.
  • Secures and analyzes necessary information (i.e., reports, policies, appraisals, releases, statements, reports 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 moderately complex information (coverage, decisions, 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 statutes, regulations and other legal requirements, and that all applicable company procedures and policies are followed.
  • May provide guidance and assistance to lower level positions and other functional areas.
  • Performs other duties as assigned.

Qualifications

  • Bachelor’s Degree or equivalent experience.
  • 3 to 5 years of related experience.

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