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Claims Operations Associate-Workers Compensation

Key Facts

Remote From: 
Full time
English

Other Skills

  • Problem Reporting
  • Investigation
  • Customer Service
  • Microsoft Outlook
  • Problem Solving
  • Professionalism
  • Non-Verbal Communication
  • Time Management
  • Self-Motivation

Roles & Responsibilities

  • High school diploma or equivalent required.
  • Related billing claims assistant, claims processing, or claims operations support experience required.
  • Workers' compensation claims experience preferred.
  • Must be located in Henderson, NV and available to work 7:30 a.m. to 4:00 p.m. PST/PDT, Monday–Friday; reliable transportation.

Requirements:

  • Demonstrates beginner to intermediate knowledge of claims operations; handles simple requests and complaints via telephone, email, or voicemail with guidance.
  • Performs daily mail pickup, scanning, file functions; sorts/distributes mail; maintains/purges documents per record retention guidelines; uses multiple systems to route correspondence.
  • Learns basic claim setup and entry, coverage verification, and financial transactions; identifies discrepancies; uses ClaimExpert, ClaimConnect, ClaimCenter, OpsNow, and Outlook to track workload and manage activities.
  • Refers non-routine/complex issues to manager or more experienced staff; assists with general correspondence; maintains professional demeanor; works under close supervision and follows pre-established guidelines.

Job description

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow.

At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.

Great American's Strategic Comp division is currently seeking a Claim Operations Associate I to support our growing Claims Operations department. This is an administrative work from home opportunity for candidates located in Henderson, NV. This is a non-exempt/hourly position with a schedule of 7:30 a.m. to 4:00 p.m. PST/PDT ,Monday-Friday.

RESPONSIBILITIES

  • Demonstrates beginner to intermediate knowledge of the claims operations and the ability to address simple requests and complaints received via telephone, email, or voicemail, with some guidance.
  • Performs daily mail pickup, scanning and file functions; sorts and distributes mail & maintains/purges documents according to record retention guidelines.
  • Utilizes the multiple systems to identify the appropriate recipient of correspondence; distributes electronic records accordingly.
  • Expands upon and employs problem-solving skills and learns the investigative methods needed to actively seek information required to resolve inquiries and issues.
  • May learn to execute basic claim setup and entry, coverage verification, and financial transactions.
  • Learns to identify discrepancies in information gathered.
  • Becomes familiar with and utilizes multiple computer systems for policy analysis, claim management, data management, reporting, and productivity.
  • Learns to utilize ClaimExpert, ClaimConnect, ClaimCenter, OpsNow, and Outlook to track workload, manage activities, remain organized, and timely.
  • Refers non-routine/complex issues to manager or more experienced staff.
  • May assist with and/or create general correspondence.
  • Maintains a professional demeanor in all situations.
  • Performs all other duties and tasks as assigned.
  • Works productively under close supervision; relies on instructions and pre-established guidelines to perform the functions of the job

QUALIFICATIONS

Education, Experience, Location & Availability:

  • High school diploma is required
  • Related billing claims assistant, claims processing or claims operations support experience is required
  • Workers' compensation claims experience is preferred
  • Henderson, NV location required. [PST/PDT]
  • Must be available to work hours of 7:30 a.m. to 4:00 p.m. [PST/PDT], Monday-Friday. 
  • Must be available to pick up mail at 9:30 a.m. [PST/PDT], Monday – Friday.
  • Reliable transportation is required

Additional Skills and Competencies:

  • Excellent communication skills in both written and verbal form is required
  • Must be able to work with accuracy and speed with a variety of internal and external contacts
  • Must be self-motivated as this is a work-from-home position

Business Unit:

Strategic Comp


Salary Range:

$20.00 -$26.00

Benefits:

We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits.

 

Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at http://www.gaig.com/careers.

 

*Excludes seasonal employees and interns.

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