Remote Claims Operations Specialist – Workers' Comp

Summit Consulting; Oklahoma; On-site; USD 28,000 - 37,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k) match

Paid time off

Holidays

Commuter benefits

Job summary

Strategic Comp, a Great American Insurance Group company, is seeking a Claims Operations Associate II. This remote, work-from-home role supports workers' compensation claims professionals, handling file setup, documentation, and inquiries while ensuring accuracy and timely processing.

Ideal candidates have claims operations experience, strong communication skills, and the ability to manage multiple tasks in a fast-paced environment within Mountain or Central Time Zones.

Qualifications

• High school diploma or equivalent required.
• Experience in claims operations, claims processing, or a related insurance administrative role.
• Experience supporting workers' compensation adjusters or claims professionals strongly 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.
• Collaborate effectively with adjusters, internal departments, and external contacts to facilitate claim handling activities.
• Meet productivity, quality, and service expectations while managing multiple priorities.

Skills

Verbal communication

Written communication

Attention to detail

Organizational skills

Time management

Multi-tasking

Problem-solving

Education

High school diploma or equivalent

Tools

ClaimConnect

ClaimCenter

OpsNow

Outlook

Job description

Strategic Comp, a Great American Insurance Group company, is seeking a Claims Operations Associate II. This remote, work-from-home role supports workers' compensation claims professionals, handling file setup, documentation, and inquiries while ensuring accuracy and timely processing.

Ideal candidates have claims operations experience, strong communication skills, and the ability to manage multiple tasks in a fast-paced environment within Mountain or Central Time Zones.