Remote Senior Medical-Only WC Claims Specialist

Great American Insurance Group; Columbus (OH); Remote; USD 60,000 - 85,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Wellness plans

Parental leave

Adoption assistance

Tuition reimbursement

Paid Time Off

paid holidays

401(k) plan with company match

employee stock purchase plan

Commuter benefits

Job summary

Great American Insurance Group, via Strategic Comp, seeks a Senior Medical Only Claims Representative to investigate, manage, and resolve workers’ compensation medical-only claims. This fully remote role covers Minnesota, Iowa, Nebraska, South Dakota, Kansas and Missouri, requiring a self-motivated professional who thrives with independence while delivering high-quality outcomes.

You will communicate with injured workers, employers, medical providers, and stakeholders, verify coverage, approve

Qualifications

• Minimum 2 years of experience handling workers’ compensation medical-only claims.
• Experience managing claims in Minnesota, Iowa, Nebraska, South Dakota, Kansas and Missouri preferred.
• Strong knowledge of workers’ compensation claims handling practices, medical bill review, and claim investigation techniques.

Responsibilities

• Investigate, evaluate, and manage workers’ compensation medical-only claims from initial reporting through resolution.
• Verify coverage and gather information to determine compensability and handling strategies.
• Maintain regular verbal and written communication with injured workers, employers, medical providers, and other stakeholders.
• Approve or deny payment of medical invoices in accordance with guidelines and regulations.
• Establish and manage claim reserves within delegated authority levels, including reserve approvals up to $10,000.
• Ensure timely and accurate claim documentation and resolution activities.
• Handle medical-only claims in targeted Midwest states and support regional needs.

Skills

Workers' compensation

Medical bill review

Claim investigation

Education

High school diploma

Insurance education preferred

Job description

Great American Insurance Group, via Strategic Comp, seeks a Senior Medical Only Claims Representative to investigate, manage, and resolve workers’ compensation medical-only claims. This fully remote role covers Minnesota, Iowa, Nebraska, South Dakota, Kansas and Missouri, requiring a self-motivated professional who thrives with independence while delivering high-quality outcomes.

You will communicate with injured workers, employers, medical providers, and stakeholders, verify coverage, approve