Claims Assistant - CA Workers' Compensation (Work from Home)
Posted on: 21 Apr 2021
San Diego, CA
Job Description
Overview
Great American's Strategic Comp division is currently seeking a Workers' Compensation Claims Assistant to support our growing Claims Operations department. This is a full-time work from home opportunity.
Are you self-motivated, highly organized and a great communicator? Do you enjoy supporting a team and working independently? Do you have recent experience assisting with California workers' compensation claims? 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 and in the sale of annuities.
Our employees at Strategic Comp 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!
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 they enjoy working with us too!
Responsibilities
Here’s what you would be doing if hired for the Worker's Compensation Claims Assistant role:
Provide support to a team of 3 to 5 California workers' compensation claims adjusters
Demonstrate working knowledge of the claims operation and learn to resolve routine incoming operations partners’ requests; refer all non-routine/more complex issues to more experienced staff
Actively seek information to understand operations partners’ circumstances, problems, expectations and needs, for the purpose of resolving inquiries/issues
Share and/or convey information to business partners, regarding their claims; maintain a professional demeanor in all situations
Interact with business partners to share and/or convey information in response to issues and inquiries; respond to general claims information requests and complaints received via telephone, email, or voicemail
Provide assistance to Claims department in areas requiring beginner to intermediate skills or knowledge.
Perform claims operations and payment functions on claims:
Perform electronic indexing, coverage verification, claims transactions, recoveries, and complete drafts and forms
Complete claims setup and entry, and assign claims numbers
Compose, prepare, review, and respond to correspondence; answer and respond to inquiries and gather information
Perform general processing; enter information into company systems and utilize the company systems to identify the appropriate recipient of correspondence within or outside the company
Prepare, order, and maintain records, reports, registers, and schedules
Maintain/purge documents according to record retention guidelines and distribute files/file systems
May perform systems functions, including determining errors/corrections on claims system(s)
May coordinate/maintain contractor system, assigned manuals, repetitive payment schedule and bulk billing system
May receive/verify information on loss reports and expense and/or medical bills
Comply with company and regulatory guidelines
Perform all other duties as assigned
Qualifications
Required Education and Experience
High school diploma
A minimum of 2 years of recent experience assisting with California workers' compensation claims. Experience should include, but not be limited to the following:
Experience supporting a team of claims adjusters
Experience with RFA’s
Experience with Objections
Experience with Benefit Letters
Experience with Denials
Preferred Skills and Location
Ability to read, write and speak Spanish proficiently is a plus
Location in Pacific Time Zone is strongly preferred
American Financial Group
Cincinnati, OH
American Financial Group, Inc. is a holding company based in Cincinnati, Ohio and founded in 1959. Our insurance roots go back to 1872 with the founding of Great American Insurance Company. Today, through the operations of Great American Insurance Group, AFG is engaged in property and casualty (P&C) insurance, focusing on specialized commercial products for businesses, and in the sale of traditional fixed and fixed-indexed annuities. We are proud to provide insurance products that help businesses manage their unique financial risks and exposures and annuity products that help individuals protect their financial futures.
AFG’s Specialty P&C Group is comprised of over 30 diversified businesses offering a wide range of specialty commercial coverages in three major groupings: Property and Transportation, Specialty Casualty and Specialty Financial. Our Annuity operations are focused on sales of traditional fixed, fixed-indexed and variable-indexed annuities in the retail, financial institutions, broker-dealer and registered investment advisor markets. Our Annuity Group enjoys a long history in the industry, with long-term, strong agent relationships and a reputation for simple, consumer-friendly products.
A diversified business model with P&C and annuity operations has worked well for us; many of our businesses are among the top performers in their respective industries. Our business has entrepreneurial spirit at its core, with a focus on accountability. Business autonomy in our Specialty P&C and Annuity operations facilitates agility in underwriting, claims and policy servicing, and enables these businesses to develop distribution strategies and relationships in the unique markets they serve.
AFG’s in-house investment management team oversees a portfolio of nearly $50 billion, and produces returns that have consistently outperformed industry benchmarks. Fixed income securities, primarily investment grade bonds, account for about 92% of our total investments. Approximately 91% of our fixed maturity investments are rated investment grade by nationally recognized rating agencies, with 98% rated NAIC 1 or 2, NAIC's highest ratings. Stocks, real estate, policy loans and other investments make up the remainder of the portfolio.
We believe that superior underwriting results, superior investment talent and intelligent deployment of capital lead to long-term value creation for our shareholders. With the power of generations behind it, AFG grows and changes with discipline and integrity. We're proud of who we are, where we've been and where we're going. Our industry is changing and we continue to change as well. We strive to provide quality products and service to our customers and agents, offer a rewarding work environment for our employees, and build value for our shareholders.
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IndustryBanking/Financial Services
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No. of Employees7,600+
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Website
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Jobs Posted22
