Bill Review Nurse

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.

• →Reviews Facility and Professional bills as it compares with medical records, diagnosis & agreements for appropriateness or inconsistencies.
• →Negotiates Pre-Surgical Services.
• →Performs audits seeking potential leakage and/or system or procedural improvements.
• →Provides professional advice and expertise to Claims staff in developing and providing medical and cost control procedures.
• →Provides technical advice to lower-level associates and other functional areas.
• →Assists with special projects as needed
• →May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports.
• →Performs other duties as assigned.
• →Great American’s culture is built on connection, shared learning, and strong relationships. To support this, employees in this role are expected to be on-site four days a week, with the flexibility to work one day remotely. Core in-office days are Tuesday–Thursday, with the fourth day determined by business needs.
• →The person hired for this position may work full-time remote depending on availability.

#LI-Hybrid