LogoFresh Jobs Ahead
Great American Insurance Group
Great American Insurance Group
5.001 – 10.000 Angajați
AsigurăriB2B
Great American Insurance Group este un asigurător specializat cu sediul în Statele Unite, care deservește companii și industrii de nișă prin acoperiri comerciale și servicii de asigurare conexe. Oferta sa include asigurări pentru proprietăți și transporturi maritime interne, transport, răspundere profesională, credite comerciale, riscuri cibernetice, mortalitatea cabalinelor și soluții de sănătate pentru angajatori. Organizația operează prin divizii specializate și sucursale internaționale, combinând subscrierea axată pe industrie cu expertiza în gestionarea daunelor pentru clienții comerciali. Great American Insurance Group face parte din American Financial Group și are peste 150 de ani de experiență în domeniul asigurărilor.
LinkedIn
Locurile de muncă ale companiei

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.

USStatele Unite ale Americii
65.000 $ – 80.000 $ / an
RemoteNormă întreagăSeniorLimbă Obligatorie: englezăSpecialist în daune

Descriere

  • 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.

Cerințe

  • 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.

Beneficii

  • 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

Locuri de muncă similare

Zurich Insurance

Zurich Crop Claims Specialist or Field Adjuster (Remote, Alabama or Florida)

Zurich Insurance
Sponsor pentru viza de lucrător calificatAsistență medicalăConsultanțăJuridic
USStatele Unite ale AmericiiALAlabamaFLFlorida
23 $ – 32 $ / oră
RemoteNormă întreagăNivel mediuSeniorLimbă Obligatorie: englezăSpecialist în daune

Assess crop insurance liability and coverage for Zurich’s U.S. business, supporting claims reviews and quality operations. The role covers assigned farm territories in Alabama or Florida and may include catastrophe response and remote claims support.

Deschide
Encova Insurance

Remote Inside Property Claims Adjuster

Encova Insurance
1.001 – 5.000 Angajați
AsigurăriB2CFinanțe
USStatele Unite ale AmericiiCTConnecticutFLFloridaILIllinoisIAIowaKYKentuckyMDMarylandMAMassachusettsMIMichiganMNMinnesotaMOMissouriNENebraskaNHNew HampshireNJNew JerseyNCCarolina de NordOHOhioPAPennsylvaniaSCCarolina de SudTNTennesseeTXTexasVAVirginiaWVVirginia de VestWIWisconsin
55.132 $ – 88.210 $ / an
RemoteNormă întreagăNivel mediuSeniorLimbă Obligatorie: englezăSpecialist în daune

Investigate and settle personal and commercial property claims for Encova Insurance through primarily remote communications. Coordinate coverage, valuations, contractors, and catastrophe response.

Deschide