Remote Claims Ops Associate II – Workers' Comp

Summit Consulting; United States; Remote; USD 28,000 - 37,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

401(k) plan with company match

Employee stock purchase plan

Paid time off and holidays

Job summary

Strategic Comp is hiring a Claims Operations Associate II for a remote, US-based role serving Mountain or Central Time zones. You will provide admin support to workers' compensation claims, set up files, verify coverage, handle transactions, and respond to inquiries.

The job requires meticulous organization, team collaboration, and adherence to procedures. You will interact with adjusters, internal teams, and external contacts while maintaining confidentiality and accuracy across systems like

Qualifications

• High school diploma or equivalent required.
• Experience in claims operations, claims processing, claims support, or a related insurance administrative role.
• Experience supporting workers' compensation adjusters or claims professionals 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.
• 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

Verbal communication

Written communication

Attention to detail

Multitasking

Education

High school diploma or equivalent

Job description

Strategic Comp is hiring a Claims Operations Associate II for a remote, US-based role serving Mountain or Central Time zones. You will provide admin support to workers' compensation claims, set up files, verify coverage, handle transactions, and respond to inquiries.

The job requires meticulous organization, team collaboration, and adherence to procedures. You will interact with adjusters, internal teams, and external contacts while maintaining confidentiality and accuracy across systems like