Senior Medical Only Claims Representative - AZ, CA, CO, NV, UT Workers' Compensation

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, a Fortune 500 company. 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.

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 Arizona, California, Colorado, Nevada, and Utah, with the largest volume of claims being from California.

Qualifications:

Required Education, Experience and Skills:

• At least 2 years of experience handling California medical only claims is required

• In addition: current medical only adjusting experience in Arizona, Colorado, Nevada and Utah is preferred (or be willing to learn these jurisdictions )

• Must have current designation(s) to adjust medical only workers’ compensation claims in California and Arizona or willingness to secure license(s) where required

• 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

• A high school diploma is required

This job is non-exempt in California.

Business Unit:

Salary Range:

Benefits:

We offer competitive healthcare, retirement, and paid time off benefits.