Remote Senior Medical-Only Claims Specialist

Great American Insurance Group; Texas; Hybrid; USD 65.000 - 80.000; Vollzeit

Benefits dieser Stelle

Health insurance

401(k) plan with company match

Paid time off & holidays

Commuter benefits

Zusammenfassung

Great American Insurance Group's Strategic Comp unit is seeking a Senior Medical Only Claims Representative to investigate, manage, and resolve workers' compensation medical-only claims with accuracy, efficiency, and a strong customer focus.

This fully remote role handles claims primarily in Texas, Arkansas, and Oklahoma, communicating with injured workers, employers, and medical providers while ensuring jurisdictional compliance.

Qualifikationen

• High school diploma required; additional insurance/claims education preferred.
• Minimum of 2 years’ experience handling workers’ compensation medical-only claims.
• Experience in TX/AR/OK claims preferred; knowledge of other states is a plus.

Aufgaben

• Investigate, evaluate, and manage workers’ compensation medical-only claims from filing to resolution.
• Verify coverage and gather information to determine compensability and appropriate handling.
• Maintain regular communication with injured workers, employers, and medical providers; document action thoroughly.
• Approve or deny medical invoices per guidelines and jurisdictional regulations; manage reserves within delegated authority.

Kenntnisse

Remote work

Communication skills

Independent work

Claims handling

Ausbildung

High school diploma

Jobbeschreibung

Great American Insurance Group's Strategic Comp unit is seeking a Senior Medical Only Claims Representative to investigate, manage, and resolve workers' compensation medical-only claims with accuracy, efficiency, and a strong customer focus.

This fully remote role handles claims primarily in Texas, Arkansas, and Oklahoma, communicating with injured workers, employers, and medical providers while ensuring jurisdictional compliance.