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Medical Only Claims Representative

United States $69.6k–92.4k/yr Level not stated
still open posted 14d ago seen 4h ago
Apply at gaig.wd1.myworkdayjobs.com

This is the employer's own posting, not a copy on a job board.

What we know

Is it still open?

Could not be confirmed either way

Last checked 2d ago — checked against the employer's own applicant tracking system, which is the company answering directly.

The employer's own board was still advertising this when we last read it, though our own check is not current.

Check this listing's status as JSON

How old is it?

Posted 14d ago

The date the source published, not the day we noticed it (2026-10-20). Last seen at its source 4h ago.

We have tracked this listing since 20 Oct 2026 (13 days). The employer's own board has carried it every time we have read it, most recently 4 hours ago.

Is it remote?

The listing says yes

The location field doesn't say remote, so our assessment is based on the title or the description. Read the listing before applying.

Who may apply?

United States

The description states no restriction of its own. This is the source's own tag.

Pay

$69.6k–92.4k/yr

Read out of the job description by us, not from a structured field. Shown in the posting's own currency and period; we never convert.

Skills named in the ad

NegotiationRisk Management

Recognised terms only, from a fixed vocabulary — this is what CV matching compares against.

Carried by 1 source

The listing

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.




Essential Job Functions and Responsibilities

  • 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.


Job Requirements

Education: Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience.

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).


Scope of Job/Qualifications: Works within significant limits and authority on assignments of higher technical complexity and coordination. Demonstrates strong analytical, negotiation, and problem-solving skills. Demonstrates knowledge of insurance policies, coverage, and claims handling procedures. Maintains knowledge of industry laws and regulations. Demonstrates ability to organize and prioritize caseloads, ensuring timely resolution of claims.  Excellent interpersonal and communication skills with the ability to build relationships and lead negotiations. Proven ability to handle confidential information with discretion.



This job is non-exempt in California and Washington

Company:

SCI Summit Consulting, LLC


Salary Range:

$69,600.00 -$92,400.00

Benefits:

We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits.

 

Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at http://www.gaig.com/careers.

 

*Excludes seasonal employees and interns.

Apply at gaig.wd1.myworkdayjobs.com