Senior Medical Only Claims Representative

Summit provides independent insurance agents and their clients with market-leading workers’ comp insurance and elite customer service. We’re growing and currently serve more than 7,000 independent agents and 31,000 policyholders across the South, Midwest, and Mid-Atlantic.

Our strength comes from a single-minded focus on workers’ comp and a commitment to long-term customer relationships. Summit is who you turn to when you need a specialist who not only knows workers’ comp but also gets to know your business and your priorities.

Our field team members are located in every state in which we operate.

Summit is a member of the Great American Insurance Group where our highest goal is for all employees to feel included, respected, and empowered to perform at their best.

• →Manages an inventory of claims to evaluate compensability/liability.
• →Plans and conducts claim investigations to confirm coverage and to determine liability, compensability and damages.
• →Determines and negotiates appropriate claim settlements/reserves within prescribed authority. May attend arbitrations, mediations, depositions, or trials.
• →Conveys moderately complex information regarding coverage and settlements to insureds, claimants, and external partners.
• →Authorizes payments in accordance with assigned authority limit and ensures payments are made in a timely manner.
• →Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements.
• →This is a Medical Only position.
• →This role is remote in Illinois.
• →Performs other duties as assigned.

This job is non-exempt in California and Washington