Claims Operations Associate II

This is a fully remote position, open to applicants in Alabama, +4 more states.

📋 Description

• Provide operational assistance to workers' compensation adjusters by overseeing claim-related administrative tasks.

• Establish and maintain claim files, ensuring that information is accurately entered and promptly updated.

• Confirm coverage, process transactions related to claims, and assist with payment and financial processing activities.

• Address inquiries via phone, email, and voicemail, resolving standard issues and escalating more complex matters as needed.

• Collect information, identify inconsistencies, and aid in resolving issues.

• Prepare and distribute correspondence, forms, and documentation related to claims.

• Coordinate outreach via phone to gather information, schedule appointments, and assist in developing claim files.

• Support litigation efforts by organizing and providing necessary claim documentation.

• Keep workloads organized through ClaimConnect, ClaimCenter, OpsNow, Outlook, and other claims platforms.

• Assist in the management of policies, claims, and data to ensure accuracy and compliance.

• Work collaboratively with adjusters, internal departments, and external contacts to facilitate the handling of claims.

• Maintain professionalism and confidentiality in all interactions and communications.

• Meet productivity, quality, and service standards while managing multiple priorities.

• Adhere to established guidelines and procedures, seeking assistance on complex or non-standard issues.

⛳️ Requirements

• High school diploma or equivalent is required.

• Experience in claims operations, processing, support, or a relevant administrative role in insurance is essential.

• Experience assisting workers' compensation adjusters or claims professionals is highly preferred.

• Strong verbal and written communication skills are necessary.

• Ability to interact professionally with both internal and external stakeholders.

• Capability to work accurately, manage multiple tasks, and maintain attention to detail in a fast-paced environment.

• Must reside within the Mountain or Central Time Zone.

• Availability to work 37.5 hours per week, Monday through Friday, from 8:00 a.m. to 4:30 p.m. Mountain/Central Time.

• Must be authorized to work in the United States without current or future employment visa sponsorship.

🏝️ Benefits

• Medical, dental, and vision coverage.

• Wellness plans.

• Parental leave.

• Adoption assistance.

• Tuition reimbursement.

• Paid Time Off.

• Paid holidays.

• 401(k) plan with company match.

• Employee stock purchase plan.

• Commuter benefits.

• Remote, work-from-home arrangement.