Remote Claims Operations Associate I

Great American Insurance Group; California (MO); On-site; USD 25,000 - 35,000; Full time

Benefits offered by this job

Medical, Dental, Vision coverage

Paid Time Off

401(k) match

Commuter benefits

Job summary

Great American Insurance Group’s Strategic Comp unit seeks an entry-level Claims Operations Associate I to assist with setup, processing, and administration of workers’ compensation claims. This remote role calls for accurate data entry, timely responses, and collaboration with claims professionals while working within the Pacific Time Zone.

You will handle inquiries, review submissions, and use claim systems to track activities.

Qualifications

• High school diploma or equivalent required.
• Experience in claims operations, claims processing, billing support, customer service, policy services, or related insurance support role required.
• Workers’ compensation claims experience preferred.

Responsibilities

• Respond to customer, claimant, and internal inquiries via phone, email, and voicemail in a timely and professional manner.
• Set up and enter new claims while ensuring information is complete and accurate.
• Review claim submissions and documentation to identify discrepancies or missing information.
• Utilize claim management and workflow systems to track activities, manage workload, and maintain organization.
• Verify coverage information and assist with basic claim administration tasks.
• Process and support routine claim-related transactions in accordance with established procedures.
• Investigate and gather information needed to resolve straightforward questions and service requests.
• Document claim activity accurately and maintain detailed records within applicable systems.
• Assist with creating and distributing general correspondence and claim-related communications.
• Collaborate with claims professionals and operational partners to support efficient claim handling.
• Escalate non-routine or complex issues to management or senior team members for resolution.
• Maintain productivity and service standards while working in a remote environment.
• Demonstrate professionalism, accuracy, and attention to detail in all interactions and work products.
• Support special projects and perform additional duties as assigned.

Skills

Claims operations

Customer service

Communication

Remote work

Education

High school diploma

Job description

Great American Insurance Group’s Strategic Comp unit seeks an entry-level Claims Operations Associate I to assist with setup, processing, and administration of workers’ compensation claims. This remote role calls for accurate data entry, timely responses, and collaboration with claims professionals while working within the Pacific Time Zone.

You will handle inquiries, review submissions, and use claim systems to track activities.