Remote Claims Operations Associate II

Great American Insurance Group

Oklahoma

On-site

USD 39,000 - 53,000

Full time

9 days ago

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Benefits offered by this job

Medical coverage
Dental coverage
Vision coverage
Paid time off
401(k) with company match
Tuition reimbursement

Job summary

Great American Insurance Group is seeking a remote Claims Operations Associate II to provide operational and administrative support for workers' compensation claims. The role partners with adjusters to set up, maintain, and process claim information accurately while handling inquiries from customers in a fast-paced environment.

The position requires attention to detail, strong communication, and the ability to manage multiple priorities during standard Mountain or Central Time business hours.

Qualifications

  • High school diploma or equivalent required.
  • Experience in claims operations or related insurance admin role preferred.

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
Communication skills
Time management
Multitasking

Education

High school diploma or equivalent

Tools

ClaimConnect
ClaimCenter
OpsNow
Outlook

Job description

Great American Insurance Group is seeking a remote Claims Operations Associate II to provide operational and administrative support for workers' compensation claims. The role partners with adjusters to set up, maintain, and process claim information accurately while handling inquiries from customers in a fast-paced environment.

The position requires attention to detail, strong communication, and the ability to manage multiple priorities during standard Mountain or Central Time business hours.

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