Great American Insurance Group
Great American Insurance Group
5001 – 10.000 Zaposleni
B2BZavarovanje
Great American Insurance Group je zavarovalnica s sedežem v ZDA, ki podjetjem in specializiranim panogam ponuja komercialno zavarovanje ter povezane zavarovalniške storitve. Njena ponudba vključuje zavarovanje premoženja in celinskega transporta, transporta, poklicne odgovornosti, trgovinskih kreditov, kibernetskih tveganj, pogina konj ter zdravstvene rešitve za delodajalce. Organizacija deluje prek specializiranih oddelkov in mednarodnih podružnic ter združuje prevzemanje tveganj, usmerjeno v posamezne panoge, s strokovnim znanjem na področju obravnave škod za poslovne stranke. Great American Insurance Group je del družbe American Financial Group in ima več kot 150 let izkušenj na področju zavarovalništva.

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.

Opis

  • 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.

Zahteve

  • 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.

Ugodnosti

  • 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

Sorodna delovna mesta

Zurich Insurance

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

Zurich Insurance

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.

Odpri
Encova Insurance

Remote Inside Property Claims Adjuster

Encova Insurance
1001 – 5000 Zaposleni
B2CFinanceZavarovanje

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

Odpri