Remote Claims Operations Associate II

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

Benefits offered by this job

Medical, Dental, Vision coverage

401(k) plan with company match

Paid Time Off

Job summary

Great American Insurance Group, through Strategic Comp, is seeking a remote Claims Operations Associate II to support workers' compensation claims professionals. This position offers 37.5 hours per week, Mon–Fri 8:00–4:30 in Mountain/Central Time, and a collaborative, detail-oriented environment.

You will set up files, verify coverage, process transactions, respond to inquiries, and help with litigation support while maintaining confidentiality.

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.

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

Claims operations

Attention to detail

Verbal communication

Time management

Education

High school diploma

Job description

Great American Insurance Group, through Strategic Comp, is seeking a remote Claims Operations Associate II to support workers' compensation claims professionals. This position offers 37.5 hours per week, Mon–Fri 8:00–4:30 in Mountain/Central Time, and a collaborative, detail-oriented environment.

You will set up files, verify coverage, process transactions, respond to inquiries, and help with litigation support while maintaining confidentiality.