Claims Specialist

Summit

Claims Specialist managing workers’ compensation claims for Summit, a provider of workers’ comp insurance and customer service. Investigating coverage, negotiating settlements, and authorizing timely payments.

Posted 8/4/2026full-timeGainesville • Illinois, Kentucky, North Carolina, South Carolina, Tennessee • 🇺🇸 United StatesMid-LevelSenior💰 $69,600 - $92,400 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing claims, evaluating compensability and liability, and negotiating settlements within authority limits. Proficient in analyzing insurance policies and industry regulations while maintaining detailed claim documentation and fostering strong relationships with stakeholders.

Highest-signal resume keywords

Claims ManagementNegotiation SkillsInsurance KnowledgeAnalytical SkillsBachelor's Degree in Business Administration

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims HandlingCoverage EvaluationSettlement NegotiationClaims InvestigationRisk ManagementProperty and Casualty KnowledgeRegulatory ComplianceClaims DocumentationProblem-SolvingTimely Claim Resolution

Soft Skills

Interpersonal SkillsCommunication SkillsRelationship BuildingOrganizational SkillsDiscretion

Certifications & Qualifications

Associate in Claims (AIC)

Industry Keywords

Insurance PoliciesClaims ProceduresLiabilityCompensabilityArbitrationMediationDepositionsTrial

About the role

Key responsibilities & impact

Manage an inventory of claims to evaluate compensability and liability
Plan and conduct claim investigations to confirm coverage and determine liability, compensability, and damages
Determine and negotiate claim settlements and reserves within prescribed authority
Attend arbitrations, mediations, depositions, or trials as needed
Convey moderately complex coverage and settlement information to insureds, claimants, and external partners
Authorize payments within assigned authority limits and ensure timely payment
Maintain accurate and detailed claim files, correspondence, reports, and settlement agreements
Perform other duties as assigned

Requirements

What you’ll need

Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field, or equivalent experience
Generally, a minimum of 5 years of experience in property and casualty claims handling
Completion of or continuing progress toward a professional designation such as Associate in Claims (AIC) preferred
Ability to work within significant limits and authority on assignments of higher technical complexity and coordination
Strong analytical, negotiation, and problem-solving skills
Knowledge of insurance policies, coverage, and claims handling procedures
Knowledge of industry laws and regulations
Ability to organize and prioritize caseloads and ensure timely claim resolution
Excellent interpersonal and communication skills, with ability to build relationships and lead negotiations
Proven ability to handle confidential information with discretion

Benefits

Comp & perks

Medical coverage
Dental coverage
Vision coverage
Wellness plans
Parental leave
Adoption assistance
Tuition reimbursement
Paid Time Off
Paid holidays
401(k) plan with company match
Employee stock purchase plan
Commuter benefits
Flexible work arrangement with one remote day per week for Gainesville-based employees