Claims Specialist

Summit

. Manage a large inventory of complex claims to evaluate compensability and liability .

Posted 11/10/2026full-timeGainesville • Georgia • United StatesSeniorLeadWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive experience in managing complex claims, including evaluating compensability and liability, negotiating settlements, and maintaining detailed claim files. Possesses strong analytical, negotiation, and communication skills essential for effective claims handling and relationship building.

Highest-signal resume keywords

Claims ManagementNegotiation SkillsInsurance Policies KnowledgeAnalytical SkillsBachelor's Degree in Business Administration

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims InvestigationClaims Handling ProceduresCompensability EvaluationLiability AssessmentSettlement NegotiationClaims AnalysisPayment AuthorizationPerformance ManagementTalent DevelopmentTechnical Complexity Knowledge

Soft Skills

Interpersonal SkillsCommunication SkillsProblem-Solving SkillsRelationship BuildingConfidentiality Handling

Certifications & Qualifications

Associate in Claims (AIC)

Industry Keywords

Property and Casualty ClaimsInsurance RegulationsClaims SettlementArbitrationMediationDepositionsTrial Participation

About the role

Key responsibilities & impact

Manage a large inventory of complex claims to evaluate compensability and liability
Plan and conduct complex claims investigations to confirm coverage and determine liability, compensability, and damages
Analyze and negotiate claim settlements and reserves within prescribed authority
Attend arbitrations, mediations, depositions, or trials as needed
Convey complex coverage and settlement information 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
Potentially oversee performance and coach staff
Participate in talent selection, development, and performance management decisions for direct reports
Perform other duties as assigned
Work out of the Gainesville, GA office
Be on-site four days per week, with flexibility to work one day remotely

Requirements

What you’ll need

Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience
Minimum of 9 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)
Specialized knowledge for assignments of the highest technical complexity
Excellent analytical, negotiation, and problem-solving skills
Strong knowledge of insurance policies, coverage, and claims handling procedures
Knowledge of industry laws and regulations
Advanced ability to organize and prioritize caseloads
Excellent interpersonal and communication skills
Ability to build relationships and lead negotiations
Ability to handle confidential information with discretion
Viewed as a senior resource within the Claims department and/or organization

Benefits

Comp & perks

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
Hybrid work arrangement with one day remotely per week