Remote Claims Ops Associate II (Workers' Comp)

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

Benefits offered by this job

Medical, dental, and vision coverage

401(k) with company match

Paid time off

Job summary

Great American Insurance Group, via Strategic Comp, seeks a Claims Operations Associate II to provide administrative support to workers' compensation claims professionals. You will set up and maintain files, verify coverage, process transactions, respond to inquiries, and help with litigation support.

This remote, work-from-home role serves Mountain and Central Time Zone candidates, totaling 37.5 hours per week.

Qualifications

• High school diploma or equivalent required.
• Experience in claims operations or related insurance administrative role.
• Experience supporting workers' compensation claims preferred.
• Strong communication skills, both verbal and written.

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 and written communication

Attention to detail

Multitasking

Education

High school diploma or equivalent

Job description

Great American Insurance Group, via Strategic Comp, seeks a Claims Operations Associate II to provide administrative support to workers' compensation claims professionals. You will set up and maintain files, verify coverage, process transactions, respond to inquiries, and help with litigation support.

This remote, work-from-home role serves Mountain and Central Time Zone candidates, totaling 37.5 hours per week.