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Summit Consulting
Gainesville, GA | Full Time
$77k-94k (estimate)
2 Months Ago
Claims Specialist
Summit Consulting Gainesville, GA
$77k-94k (estimate)
Full Time | Business Services 2 Months Ago
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Summit Consulting is Hiring a Claims Specialist Near Gainesville, GA

Headquartered in the Central Florida city of Lakeland, Summit employs over 700 office and field associates at its main location and regional offices in Baton Rouge, Louisiana, and Gainesville, Georgia. As the people who know workers’ comp, we strive to provide an atmosphere of constant growth and development for our employees.

Summit provides workers’ compensation programs and services to thousands of employers throughout the Southeast.

Summit is a member of Great American Insurance Group, a company that focuses on building relationships and linking people to various career paths. Whether it’s underwriting, claims, accounting, IT, legal, or customer service, Great American Insurance Group combines a small-company entrepreneurial atmosphere with big- company expertise.

It’s one thing to know workers’ comp. It’s another to know people. But knowing both? That creates an altogether different experience.

So, if you’re ready for an altogether different workplace experience, get to know the people who know workers’ comp. Apply today.


Essential Job Functions and Responsibilities

  • Investigates and maintains claims:
    • Reviews and evaluates coverage and/or liability.
    • Secures and analyzes necessary information (i.e., reports, policies, appraisals, releases, statements, records, or other documents) in the investigation of claims.
  • Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary.
  • May affect settlements/reserves within prescribed limits and submit recommendations to supervisor on cases exceeding personal authority.
  • Conveys complex information (coverage, decisions, outcomes, etc.) to all appropriate parties, maintaining a professional demeanor in all situations.
  • Ensures that claims payments are issued in a timely and accurate manner.
  • Ensures that claims handling is conducted in compliance with applicable statutes, regulations and other legal requirements, and that all applicable company procedures and policies are followed.
  • Provides technical advice to lower level positions and other functional areas.
  • 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.
  • The person hired for this position will work out of the Gainesville, GA office which offers a hybrid work environment of 3 days in the office and 2 days work from home.

Job Requirements

Education: Bachelor’s Degree or equivalent experience.

Field of Study: Liberal Arts, Business or a related discipline.

Experience: Generally, 6 to 10 years of related experience.

Company:

SCI Summit Consulting, LLC

Benefits:

We offer competitive healthcare, retirement, and paid time off benefits for full-time and part-time benefit eligible employees.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Business Services

SALARY

$77k-94k (estimate)

POST DATE

03/22/2024

EXPIRATION DATE

07/18/2024

WEBSITE

summitconsultinggroupllc.com

HEADQUARTERS

SAN FRANCISCO, CA

SIZE

<25

FOUNDED

2009

CEO

BRET ASHWORTH

REVENUE

<$5M

INDUSTRY

Business Services

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About Summit Consulting

Summit Consulting Group is a leader in business and technology consulting. We provide strategy, management and operational consulting services to both large and growing organizations on a project and ongoing basis. Our customized approach to each clients needs ensures the best possible results. What ever your business needs may be we can develop an efficient and surgical solution.

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If you are interested in becoming a Claims Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Claims Specialist for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Claims Specialist job description and responsibilities

The specialist reports and processes these claims by researching the policy and accumulating evidence regarding the claim.

02/21/2022: Benton Harbor, MI

Claims specialists must also compile reports and communicate regularly with supervisors and managers regarding the status of claims.

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Claims Specialists are responsible for a wide range of administrative tasks related to the delivery of medical care.

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Evaluates liability, coverage and settles claims within prescribed procedures and authority.

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Reviews and evaluates property claims for coverage and further claim handling procedures to conclude within required statutory time frame.

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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Claims Specialist jobs

Claims specialists are required to follow the California Health and Safety Code when accepting or denying claims.

02/04/2022: Lynchburg, VA

They must treat clients fairly and equitably, but also make sure claims are legitimate and reasonable.

03/03/2022: Portland, ME

They must know the details of claims verification, payment processing, dispute resolution and fraud detection.

02/14/2022: Hialeah, FL

A good claims specialist will take a proactive approach to their job.

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Claims specialist positions require superb organization skills to keep track of financial documents.

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Step 3: View the best colleges and universities for Claims Specialist.

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