Great American Insurance Group
Great American Insurance Group
5 001 – 10 000 Қызметкерлер
B2BСақтандыру
Great American Insurance Group — бизнеске және мамандандырылған салаларға коммерциялық сақтандыру өтемі мен соған байланысты сақтандыру қызметтерін ұсынатын, АҚШ-та орналасқан мамандандырылған сақтандыру компаниясы. Оның ұсыныстары мүлік пен ішкі су көлігіне қатысты сақтандыруды, көлік саласын, кәсіби жауапкершілікті, сауда кредитін, кибертәуекелдерді, жылқылардың өлім-жітімін және жұмыс берушілерге арналған медициналық шешімдерді қамтиды. Ұйым мамандандырылған бөлімшелері мен халықаралық филиалдары арқылы жұмыс істеп, бизнес-клиенттер үшін салаға бағытталған андеррайтингті сақтандыру талаптары бойынша сараптамамен ұштастырады. Great American Insurance Group American Financial Group құрамына кіреді және сақтандыру саласында 150 жылдан астам тәжірибесі бар.

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.

Сипаттама

  • 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.

Талаптар

  • 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.

Артықшылықтар

  • 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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