Remote Workers' Comp Claims Ops Associate

Great American Insurance Group; Missouri; 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 and holidays

Commuter benefits

Job summary

Great American Insurance Group seeks a remote Claims Operations Associate II to provide operational and administrative support for workers' compensation claims. You will help set up, maintain, and process claims, communicating with adjusters and customers to ensure accuracy and timely handling.

This role requires strong organization, attention to detail, and the ability to manage multiple priorities in a fast-paced environment while working within Mountain or Central Time zones and a 37.5-hour

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 strongly 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

Time management

Education

High school diploma or equivalent

Tools

ClaimConnect

ClaimCenter

OpsNow

Outlook

Job description

Great American Insurance Group seeks a remote Claims Operations Associate II to provide operational and administrative support for workers' compensation claims. You will help set up, maintain, and process claims, communicating with adjusters and customers to ensure accuracy and timely handling.

This role requires strong organization, attention to detail, and the ability to manage multiple priorities in a fast-paced environment while working within Mountain or Central Time zones and a 37.5-hour