Claims Generalist

Are you interested in working for the nation’s leading fire protection company and beginning a rewarding and satisfying career that helps save the lives of thousands each year? Do you want to be a part of a growing and expanding team of industry experts? If so, exploring career opportunities with Summit Companies may be right for you

Summit Companies, through its subsidiaries, is a full-service provider for fire detection, suppression, and security with a full suite of capabilities that includes design, installation, testing, inspections, and maintenance. We serve customers across many verticals on a local, regional, and national scale. We’re proud of our well-deserved reputation for quality work that’s completed by our talented and experienced installation workforce. Summit Companies is a dynamic organization with endless growth opportunities spanning over 100 locations in more than 30 states.

Our company is consistently recognized for service excellence in the fire protection industry. Summit Companies supports trade skills and workforce development by hosting Recognized Apprenticeships and on-the-job training (OJT) programs for new career-seekers. Many members of our leadership team serve as chair on NFPA code compliance committees, serve on regional safety boards, and support technical education in local schools. Summit Companies supports employees in their professional development by offering continued development, training, and education by encouraging NICET and other career-advancing certifications. We continually strive to be the Employer of Choice for highly motivated team members who want to succeed in a high-growth environment. We encourage initiative, independence, diversity, and personal career growth.

The combination of experience, knowledge, and customer service is the key to our performance and helps us achieve our goal of providing the highest quality of fire protection services to protect lives and property.

JOB SUMMARY:

The Claims Administrator (CA) is responsible for managing workers compensation, general liability, and auto crash claims. The CA will coordinate with superintendents, branch offices, insurance adjusters, brokers, nurse case managers, legal resources, and medical providers to effectively manage claims from inception to closure. The CA is responsible for helping Branch Managers and Field Superintendents understand the claim process by providing updates and suggestions of training to meet claims objectives, assisting the Director of Field Risk Management and safety and quality teams with weekly, monthly, and quarterly claim updates.

ESSENTIAL JOB DUTIES:

• Responsible for managing workers compensation, general liability, and auto claims from inception to closure
• Monitor all injuries related to work accidents and driving accidents with the goal of promoting prevention of injuries, reducing frequency of injuries & facilitating timely reporting.
• Maintain the Claims accurately and completely within the company’s RMS System.
• Consistently promote the company’s AWAIR Program policies to ensure compliance with internal policies.
• Promote the company’s Return to Work Program with branch offices and human resources department.
• Manage claims to ensure deductibles are not exceeded, expenses are in line with standard care guidelines, and claims are progressing efficiently towards closure.
• Perform analysis on a monthly, quarterly, and annual basis regarding safety performance against established goals.
• Prepare and maintain the measurements and data for the safety key business indicators.
• Work with accounting personnel to verify that claim costs are accurately charged-back to the branch or origin.
• Develop strong working relationships with insurance brokers, insurance agents/adjusters, and medical providers to facilitate aggressive claims management.
• Report the previous week’s status of claims and other relevant areas of responsibility and will provide reports as requested.
• Process invoices for approval
• Other duties may be assigned.

QUALIFICATIONS

The qualifications listed below are representative of the elements required to perform the job successfully; however, in some cases, an equivalent combination of Education, Training, Certifications and Experience may meet the job qualifications.

Education, Training, Certifications:

• Associate’s and/or bachelor’s degree or equivalent experience specific to WC, GL, Auto claims handling, required.
• Experience with water damage claims and water remediation.
• Specialized experience in WC, Auto, and GL, strongly preferred

Experience, Knowledge, Skill Requirements:

• 5+ years of insurance claims experience, required.

Communication Skills:

• Must have the ability to effectively read, write and communicate in English with employees, customers, and board of directors. Many audiences must be considered, including alignment among multiple stakeholders.
• Bilingual (Spanish) a plus but not required.

Systems and Software Skills:

• Ability to operate a computer and use Microsoft Office, required.

Other Qualifications:

• Valid driver’s license with acceptable driving record, required.
• Must be able to comply with Summit’s Drug and Alcohol policy and Background screening requirements, which may also include customer specific requirements based on contractual agreement.

PHYSICAL & WORK ENVIROMENT REQUIREMENTS

Reasonable accommodations may be made to enable individuals with disabilities to perform essential job duties.

Physical Requirements:

While performing the duties of this job, the employee is required to sit and stand for long periods. Employee will occasionally be required to drive, bend, kneel, balance, lift