Claims Representative – Medical Only

Summit

Claims Representative evaluating and settling medical-only workers’ compensation claims for Summit, a specialist insurer serving independent agents and policyholders. Investigating coverage, liability, damages, reserves, payments, and claim files in a hybrid Baton Rouge role.

Posted 8/5/2026full-timeBaton Rouge • Louisiana • 🇺🇸 United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in claims management, including evaluating compensability, conducting investigations, and negotiating settlements. Proficient in maintaining detailed claim files and adhering to industry regulations while effectively communicating with stakeholders.

Highest-signal resume keywords

Claims ManagementNegotiation SkillsInsurance Policy KnowledgeAnalytical SkillsBachelor's Degree in Business Administration

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims HandlingCompensability EvaluationLiability AssessmentSettlement NegotiationClaims InvestigationPayment AuthorizationFile MaintenanceRegulatory ComplianceProblem-SolvingCaseload Organization

Soft Skills

Interpersonal SkillsCommunication SkillsDiscretionRelationship BuildingTime Management

Certifications & Qualifications

Associate in Claims (AIC)

Industry Keywords

Property and Casualty ClaimsInsurance CoverageClaims Handling ProceduresIndustry LawsRisk Management

About the role

Key responsibilities & impact

Manage an inventory of claims to evaluate compensability and liability
Conduct claim investigations to confirm coverage and determine liability, compensability, and damages
Determine and potentially negotiate claim settlements and reserves within prescribed authority
Attend arbitrations, mediations, depositions, or trials as needed
Communicate routine to 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, including 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 6 months 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 specific limits and authority on assignments of moderate technical complexity and coordination
Functional 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 for timely claim resolution
Strong interpersonal and communication skills to build relationships and handle negotiations
Ability to handle confidential information with discretion
Role is non-exempt in California and Washington

Benefits

Comp & perks

Medical, dental, and 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