Great American Insurance Group
Senior Medical Only Claims Representative - Northeast Workers' Compensation
This job is now closed
Job Description
- Req#: R6369
At least 2 years of experience handling medical only claims is required
Current medical only adjusting experience in all jurisdictions is preferred (Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, and Vermont)
Must be willing to learn the jurisdictions of Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont if primary adjusting experience has been Connecticut and New York
Must have current license(s) to adjust workers’ compensation claims in Connecticut, New Hampshire, Rhode Island and Vermont
Excellent communication skills required, in both written and verbal form
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
A high school diploma is required
Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow.
At Great American, we value diversity and recognize the benefits gained when people from different cultures, backgrounds and experiences work collaboratively to achieve business results. We are intentionally focused on fostering an inclusive culture and know valuing diversity is an essential leadership quality. Our goal is to create a workplace where all employees feel included, empowered and enabled to perform at their best.
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When is the last time you felt like you made a difference to your employer and in the job you do? Been awhile? Never? Our employees at Strategic Comp DO make a difference and feel appreciated for it. In fact, we received 98% rating for overall job satisfaction from the participants in our last employee survey. This clearly indicates the passion and energy our staff has for our company and for the job they do!
Currently we have an opening for a work-from-home Senior Medical Only Claims Representative in your territory. Are you organized with good time management skills? Are you able to multi-task while remaining calm, focused, and able to prioritize? Does this sound like you? If so, this might be the right job for you.
Here’s who we are. Strategic Comp is part of Great American Insurance Group, which was established in 1872. Based in Cincinnati, Ohio, the operations of Great American Insurance Group are engaged primarily in property and casualty insurance focusing on specialty commercial products for businesses. The members of the Great American Insurance Group are subsidiaries of American Financial Group, Inc. AFG’s common stock is listed and traded on the New York Stock Exchange (“NYSE”) and NASDAQ under the symbol “AFG”.
Here’s what we do. We insure workers’ compensation coverage for large companies, using our deductible program. Our service in claims and loss control is second to none. We’ve found that a large majority of our customers feel the way our employees do. Our renewal retention is 90+%, meaning our customers enjoy working with us too!
Responsibilities:
Here’s what you would be doing if hired for the Senior Medical Only Claims Representative position. Your role would be to investigate and manage all aspects of a medical only claim, maintaining phone/written contact with all necessary parties. You would verify coverage, investigate, manage, and resolve medical only claims promptly and accurately. You would have the authority to approve or deny payment of medical invoices, and determine case reserves, with up to $10,000 in reserve approval authority. You will be required to handle medical only claims in Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, and Vermont, with the largest volume of claims being from New York and Connecticut.
Qualifications:
Required Education, Experience, and Skills:
#LI-REMOTE
Business Unit:
Strategic Comp
$60,000.00 -$70,000.00
Salary Range:Benefits:
The wage range for this job is based on role, level, and location. Within the range, individual pay takes into account a variety of factors that are considered in making compensation decisions including but not limited to skills, education, training, licensure and certifications, experience of the candidate, the role's scope, complexity, and other business and organizational needs. In addition to the base compensation, we offer a competitive Total Rewards package, which includes but is not limited to medical, dental, vision, paid time off, and 401(k) plan for full-time and part-time employees who are eligible for benefits.
Your recruiter may be able to tell you more about our total rewards offerings and the specific wage range for the relevant location(s) during the hiring process.
About the company
American Financial Group, Inc. is an American financial services holding company based in Cincinnati, Ohio.