Remote Claims Operations Associate II

Great American Insurance Group; Michigan; On-site; USD 28,000 - 37,000; Full time

Job summary

Great American Insurance Group is seeking a Claims Operations Associate II to provide operational and administrative support to workers' compensation claims professionals. The role ensures claims are set up, maintained, and processed accurately while assisting adjusters with transactions, correspondence, and inquiries 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,

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 internal/external stakeholders.
• Detail-oriented with ability to manage multiple tasks in a fast-paced environment.
• Must be located within the Mountain or Central Time Zone and work standard business hours.

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 timely.
• Verify coverage, process claim-related transactions, and support payment and financial processing activities.
• Respond to inquiries by phone, email, and voicemail; resolve routine issues and escalate complex matters.
• Gather information, identify discrepancies, and support issue resolution using problem-solving skills.
• Prepare and distribute claim-related correspondence, forms, and documentation.
• Coordinate 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 using systems like ClaimConnect, ClaimCenter, OpsNow, Outlook, etc.
• Support policy, claim, and data management processes for accuracy and compliance.
• Collaborate with adjusters and internal/external contacts to facilitate claim handling.

Skills

Communication skills

Attention to detail

Time management

Customer service

Remote work proficiency

Education

High school diploma

Tools

ClaimConnect

ClaimCenter

OpsNow

Outlook

Job description

Great American Insurance Group is seeking a Claims Operations Associate II to provide operational and administrative support to workers' compensation claims professionals. The role ensures claims are set up, maintained, and processed accurately while assisting adjusters with transactions, correspondence, and inquiries 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,