Senior Claims Representative – Medical Only, Workers Compensation
作为保险行业的领导者，你有机会。美国大保险集团成员公司是美国金融集团的子公司。我们结合一个"小公司"文化，让你的想法被听到与"大型公司"专业知识来帮助你取得成功。拥有30多个专业和房地产和意外运营，这里总是有学习和成长的机会。在英国大保险公司，我们重视并认识到不同背景和经验的人一起合作实现商业成果时所获得的好处。我们的目标是创造一个工作场所，所有员工都能感觉自己被纳入，赋予权力和能力。这个职位不符合就业签证赞助资格。申请人必须在美国获得授权工作，而无需目前或未来的赞助。我们是谁战略公司是一个主要提供商的工作薪酬保险的大雇主致力于保护他们的劳动力。作为大美保险集团的一部分，我们结合了 150 多年的历史与生长企业精神的可信组织的力量和稳定性。通过我们的专业保险专业知识和现场服务模式，我们建立持久的合作伙伴关系并为客户提供卓越的结果。我们的文化基于协作，卓越以及共同致力于服务客户和彼此。职位概述高级医疗仅声称代表负责调查，管理和解决工人赔偿医疗仅索赔，以精确性，效率和强大的客户关注度。这一角色是受伤工人，雇主，医疗提供商和其他利益相关者的主要接触点，同时确保遵守管辖要求和公司标准。职位主要处理明尼苏达州，爱荷华州，内布拉斯卡州，南 dakota 州，堪萨斯州和密苏里州的索赔。作为一个完全远程角色，这个职位需要一个自动激励的专业人员，谁擅长独立管理优先事项，同时保持高质量的索赔结果。责任 ·调查，评估和管理工人医疗补偿仅索赔从初始报告通过解决。·验证覆盖并收集相关信息来确定补偿性和适当的索赔处理策略。·维护定期口头和书面沟通。
查看英文原文
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 and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.
This position is not eligible for employment visa sponsorship. Applicants must be authorized to work in the United States without the need for current or future sponsorship.Who We Are
Strategic Comp is a leading provider of workers' compensation insurance for large employers committed to protecting their workforce. As part of Great American Insurance Group, we combine the strength and stability of a trusted organization with more than 150 years of history with the entrepreneurial spirit of a growing business.
Through our specialized insurance expertise and field-based service model, we build lasting partnerships and deliver exceptional results for our customers. Our culture is built on collaboration, excellence, and a shared commitment to serving our customers and one another.
Position Overview
The Senior Medical Only Claims Representative is responsible for investigating, managing, and resolving workers’ compensation medical-only claims with accuracy, efficiency, and a strong customer focus. This role serves as a key point of contact for injured workers, employers, medical providers, and other stakeholders while ensuring compliance with jurisdictional requirements and company standards. The position handles claims primarily in Minnesota, Iowa, Nebraska, South Dakota, Kansas and Missouri. As a fully remote role, this position requires a self-motivated professional who excels at managing priorities independently while maintaining high-quality claim outcomes.
Responsibilities
- Investigate, evaluate, and manage workers’ compensation medical-only claims from initial reporting through resolution.
- Verify coverage and gather relevant information to determine compensability and appropriate claim handling strategies.
- Maintain regular verbal and written communication with injured workers, employers, medical providers, and other claim stakeholders.
- Approve or deny payment of medical invoices in accordance with company guidelines and applicable jurisdictional regulations.
- Establish and manage claim reserves within delegated authority levels, including reserve approvals up to $10,000.
- Ensure timely and accurate claim documentation, file management, and resolution activities.
- Analyze medical information and claim details to facilitate effective claim outcomes and cost management.
- Handle medical-only claims in Minnesota, Iowa, Nebraska, South Dakota, Kansas and Missouri while maintaining compliance with state-specific regulations.
- Support claim administration in Midwestern jurisdictions as business needs require.
- Prioritize and manage a high-volume caseload while meeting productivity, quality, and service expectations.
- Collaborate with internal partners and external stakeholders to achieve prompt and effective claim resolution.
- Identify issues requiring escalation and recommend appropriate actions to minimize risk and ensure compliance.
Qualifications
- High school diploma required; additional insurance, claims, or business-related education is preferred.
- Generally, a minimum of 2 years of experience handling workers’ compensation medical-only claims.
- Experience managing claims in Minnesota, Iowa, Nebraska, South Dakota, Kansas and Missouri preferred.
- Strong knowledge of workers’ compensation claims handling practices, medical bill review, and claim investigation techniques.
- Excellent written and verbal communication skills with the ability to effectively interact with a variety of internal and external stakeholders.
- Demonstrated ability to work independently in a remote environment, manage multiple priorities, and maintain accuracy in a fast-paced setting.
Business Unit:
Strategic CompSalary Range:
$65,000.00 -$80,000.00Benefits:
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.
Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at .
*Excludes seasonal employees and interns.
Originally posted on Himalayas