Remote Claims Ops Associate II (Workers' Comp)

Great American Insurance Group; Iowa (LA); On-site; USD 28,000 - 37,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

401(k) with match

Paid time off

Commuter benefits

Job summary

Great American Insurance Group's Strategic Comp unit is seeking a remote Claims Operations Associate II to support workers' compensation claims professionals. The role emphasizes processing, documentation, and timely communication while working from home within Mountain or Central Time.

You will manage claim files, verify coverage, respond to inquiries, coordinate information gathering, and assist with litigation support.

Qualifications

• High school diploma or equivalent required.
• Experience in claims operations or related insurance administrative role.
• Experience supporting workers' compensation claims preferred.
• Strong verbal and written communication skills.
• Able to manage multiple tasks in a fast-paced environment.

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

Communication skills

Attention to detail

Multitasking

Organizational skills

Verbal and written communication

Education

High school diploma or equivalent

Job description

Great American Insurance Group's Strategic Comp unit is seeking a remote Claims Operations Associate II to support workers' compensation claims professionals. The role emphasizes processing, documentation, and timely communication while working from home within Mountain or Central Time.

You will manage claim files, verify coverage, respond to inquiries, coordinate information gathering, and assist with litigation support.