Claims Operations Associate Workers Compensation

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.

• Excludes seasonal employees and interns.

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