Senior Medical Claims Representative – Workers Compensation

Job not on LinkedIn

🕒 July 10

🦌 Connecticut, New Hampshire, +3 more states – Remote

🦌 Connecticut – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🦀 Maryland – Remote 🔔 Pennsylvania – Remote

💵 $65k - $75k / year

⏰ Full Time

🟠 Senior

📋 Claims Specialist

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Great American Insurance Group

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🛡️ Insurance

🤝 B2B

Insurance • B2B

Great American Insurance Group is a U. S. -based specialty insurance company that provides a wide range of commercial insurance products and services to businesses and niche industries. With more than 150 years of history and headquarters in Cincinnati, Ohio, Great American offers tailored coverages including property & inland marine, equine mortality, transportation, professional liability, trade credit, cyber risk, and employer health solutions through numerous specialty divisions and international branches. It is a group of insurance companies that are subsidiaries of American Financial Group and emphasizes financial strength, claims expertise, and industry-focused underwriting for primarily business customers.

📋 Description

• Investigate and manage all aspects of a medical only claim, maintaining phone/written contact with all necessary parties • Verify coverage, investigate, manage, and resolve medical only claims promptly and accurately • Authority to approve or deny payment of medical invoices, and determine case reserves, with up to $10,000 in reserve approval authority • Required to handle medical only claims in Maryland, New Jersey, and Pennsylvania with the largest volume of claims being Pennsylvania • Prefer candidates have experience handling medical only claims in the New England states or are willing to learn

🎯 Requirements

• At least 2 years of experience handling medical only claims is required • Prefer candidates have current license(s) to adjust workers’ compensation claims in Delaware, Connecticut, or New Hampshire or willingness to obtain same • 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

🏖️ Benefits

• medical, dental, and vision coverage • wellness plans • parental leave • adoption assistance • tuition reimbursement • Paid Time Off and paid holidays • 401(k) plan with company match • employee stock purchase plan • commuter benefits