Claims Operations Associate II

Summit Consulting; United States; Remote; USD 28,000 - 37,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

401(k) plan with company match

Employee stock purchase plan

Paid time off and holidays

Job summary

Strategic Comp is hiring a Claims Operations Associate II for a remote, US-based role serving Mountain or Central Time zones. You will provide admin support to workers' compensation claims, set up files, verify coverage, handle transactions, and respond to inquiries.

The job requires meticulous organization, team collaboration, and adherence to procedures. You will interact with adjusters, internal teams, and external contacts while maintaining confidentiality and accuracy across systems like

Qualifications

• High school diploma or equivalent required.
• Experience in claims operations, claims processing, claims support, or a related insurance administrative role.
• Experience supporting workers' compensation adjusters or claims professionals preferred.
• Strong verbal and written communication skills.
• Must be located within the Mountain or Central Time Zone and able to work standard business hours in those time zones.

Responsibilities

• Provide operational support to workers' compensation adjusters by managing claim-related administrative activities.
• Set up and maintain claim files, ensuring information is entered accurately and updated in a timely manner.
• Verify coverage, process claim-related transactions, and support payment and financial processing activities.
• Respond to inquiries received by phone, email, and voicemail, resolving routine issues and escalating complex matters as appropriate.
• Utilize problem-solving and investigative skills to gather information, identify discrepancies, and support issue resolution.
• Prepare and distribute correspondence, forms, and other claim-related documentation.
• Coordinate phone outreach to collect information, schedule appointments, and support claim file development.
• Assist with litigation support by organizing and providing required claim documentation.
• Maintain organized workloads and activities through systems such as ClaimConnect, ClaimCenter, OpsNow, Outlook, and other claims platforms.
• Support policy, claim, and data management processes to ensure accuracy and compliance with established procedures.
• Collaborate effectively with adjusters, internal departments, and external contacts to facilitate claim handling activities.
• Maintain professionalism and confidentiality in all interactions and communications.
• Meet productivity, quality, and service expectations while managing multiple priorities.
• Follow established guidelines and procedures while seeking guidance on complex or non-routine issues.

Skills

Verbal communication

Written communication

Attention to detail

Multitasking

Education

High school diploma or equivalent

Job description

## Claims Operations Associate IIApplylocations: Alabama, USA: Wyoming, USA: Wisconsin, USA: Utah, USA: Texas, USAtime type: Full timeposted on: Posted Yesterdayjob requisition id: R9365**Be Here. Be Great.** Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow.At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.## This position is not eligible for employment visa sponsorship. Applicants must be authorized to work in the United States without the need for current or future sponsorship.**Who We Are**Strategic Comp is a leading provider of workers' compensation insurance for large employers committed to protecting their workforce. As part of Great American, we combine the strength and stability of a trusted organization with more than 150 years of history with the entrepreneurial spirit of a growing business.Through our specialized insurance expertise and field-based service model, we build lasting partnerships and deliver exceptional results for our customers. Our culture is built on collaboration, excellence, and a shared commitment to serving our customers and one another.**Position Overview**The Claims Operations Associate II provides operational and administrative support to workers' compensation claims professionals, helping ensure claims are set up, maintained, and processed accurately and efficiently. This role serves as a key partner to adjusters by handling claim-related transactions, correspondence, documentation, and customer inquiries while maintaining high standards of service and accuracy. The position requires strong organizational skills, attention to detail, and the ability to manage multiple priorities in a fast-paced environment.This is a remote, work-from-home position for candidates located within the Mountain or Central Time Zone and available to work 37.5 hours per week, Monday through Friday from 8:00 a.m. to 4:30 p.m. Mountain/Central Time.**Responsibilities*** Provide operational support to workers' compensation adjusters by managing claim-related administrative activities.* Set up and maintain claim files, ensuring information is entered accurately and updated in a timely manner.* Verify coverage, process claim-related transactions, and support payment and financial processing activities.* Respond to inquiries received by phone, email, and voicemail, resolving routine issues and escalating complex matters as appropriate.* Utilize problem-solving and investigative skills to gather information, identify discrepancies, and support issue resolution.* Prepare and distribute correspondence, forms, and other claim-related documentation.* Coordinate phone outreach to collect information, schedule appointments, and support claim file development.* Assist with litigation support by organizing and providing required claim documentation.* Maintain organized workloads and activities through systems such as ClaimConnect, ClaimCenter, OpsNow, Outlook, and other claims platforms.* Support policy, claim, and data management processes to ensure accuracy and compliance with established procedures.* Collaborate effectively with adjusters, internal departments, and external contacts to facilitate claim handling activities.* Maintain professionalism and confidentiality in all interactions and communications.* Meet productivity, quality, and service expectations while managing multiple priorities.* Follow established guidelines and procedures while seeking guidance on complex or non-routine issues.**Qualifications*** High school diploma or equivalent required.* Experience in claims operations, claims processing, claims support, or a related insurance administrative role required.* Experience supporting workers' compensation adjusters or claims professionals strongly preferred.* Strong verbal and written communication skills with the ability to interact professionally with internal and external stakeholders.* Demonstrated ability to work accurately, manage multiple tasks, and maintain attention to detail in a fast-paced environment.* Must be located within the Mountain or Central Time Zone and able to work standard business hours in those time zones.**Business Unit:**Strategic Comp**Salary Range:**$20.00 -$27.00**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.