Senior Medical Only Claims Representative

Job not on LinkedIn

🕒 October 20

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $69.6k - $92.4k / year

⏰ Full Time

🟠 Senior

📋 Claims Specialist

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Summit

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🛡️ Insurance

🤝 B2B

🔥 Funding within the last year

💰 $8.5k Equity Only on 2026-01

Insurance • B2B

Summit is a specialty insurance carrier focused on workers' compensation. Summit provides workers' comp policies and related services to independent agents and employers, including claims management, a return-to-work program (Back2work®), premium audit, safety consulting and training, telemedicine access, and provider/pharmacy finding tools. The company emphasizes agent partnerships and has tens of thousands of policyholders across multiple states, works with A-rated carriers, and promotes safety and premium reduction strategies for employers.

📋 Description

• Manage an inventory of claims to evaluate compensability/liability • Plan and conduct claim investigations to confirm coverage and determine liability, compensability, and damages • Determine and negotiate appropriate claim settlements/reserves within prescribed authority • Attend arbitrations, mediations, depositions, or trials as needed • Convey moderately complex information regarding coverage and settlements 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 • Handle Medical Only claims • Perform other duties as assigned

🎯 Requirements

• 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 preferred, such as Associate in Claims (AIC) • 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, ensuring timely resolution of claims • Excellent interpersonal and communication skills • Ability to build relationships and lead negotiations • Proven ability to handle confidential information with discretion

🏖️ Benefits

• 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

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