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Great American Insurance Group
Great American Insurance Group
5,001 – 10,000 Employees
B2BInsurance
Great American Insurance Group is a U.S.-based specialty insurer serving businesses and niche industries with commercial coverage and related insurance services. Its offerings span property and inland marine, transportation, professional liability, trade credit, cyber risk, equine mortality, and employer health solutions. The organization operates through specialty divisions and international branches, combining industry-focused underwriting with claims expertise for business customers. Great American Insurance Group is part of American Financial Group and has more than 150 years of insurance experience.
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Senior Medical-Only Workers’ Compensation Claims Representative

Manage medical-only workers’ compensation claims for Strategic Comp, a specialty insurer. Investigate, assess, and resolve claims across six Midwestern states.

USUnited States
$65,000 – $80,000 / year
RemoteFull-timeSeniorEnglish RequiredClaims Specialist

Description

  • Investigate and manage medical-only workers’ compensation claims from first report through resolution.
  • Verify coverage and collect information to assess compensability and choose appropriate handling strategies.
  • Communicate regularly with injured workers, employers, medical providers, and other claim stakeholders.
  • Approve or deny medical invoice payments under company guidelines and applicable regulations.
  • Set and manage reserves within delegated authority, including approvals of up to $10,000.
  • Keep claim files, documentation, and resolution activities accurate and timely.
  • Review medical information and claim details to support sound outcomes and cost management.
  • Handle claims in Minnesota, Iowa, Nebraska, South Dakota, Kansas, and Missouri in line with state regulations.
  • Provide claims administration support in other Midwestern jurisdictions as business needs require.
  • Manage a high-volume caseload while meeting productivity, quality, and service expectations.
  • Work with internal teams and external stakeholders to resolve claims promptly and effectively.
  • Escalate issues and recommend actions to reduce risk and maintain compliance.

Requirements

  • High school diploma.
  • At least two years of experience handling medical-only workers’ compensation claims is generally required.
  • Experience managing claims in Minnesota, Iowa, Nebraska, South Dakota, Kansas, and Missouri is preferred.
  • Strong knowledge of workers’ compensation claims practices, medical bill review, and claim investigation.
  • Excellent written and verbal communication skills for working with varied internal and external stakeholders.
  • Ability to work independently remotely, handle competing priorities, and maintain accuracy in a fast-paced environment.
  • Authorization to work in the United States without current or future employment visa sponsorship.

Benefits

  • 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

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