Senior Medical Only Claims Representative

Job not on LinkedIn

🔥 15 hours ago

🌽 Illinois – Remote

infoinfo

💵 $69.6k - $92.4k / year

⏰ Full Time

🟠 Senior

📋 Claims Specialist

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Logo of Summit

Summit

51 - 200 employees

Founded 2008

☁️ SaaS

📣 Marketing

🤝 B2B

SaaS • Marketing • B2B

Summit is not described in the provided information; the supplied text appears to be for Bitly — a SaaS link-management and analytics platform offering URL shortening, QR codes, landing pages, link tracking, integrations and AI features for marketers and businesses. Based on the provided text, no Summit-specific products, sector, or details are available, so this description reflects the content you pasted rather than information about Summit.

📋 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

Apply Now

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