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Insurance Claims Associate Remote Jobs in Illinois

Claims Adjuster - Associate

Chicago, IL · On-site +1

$51K - $66K/yr

We believe pet insurance is more than a financial product and build solutions to simplify the pet ... Remote- USA Main Responsibilities: * Works closely with veterinary hospitals, and policyholders to ...

This remote position is vital in ensuring that our clients receive prompt and fair assessments of ... Experience in claims processing, insurance, or a related field is preferred. Understanding of ...

Claims Specialist

Tennessee, IL · Remote

$69K - $92K/yr

Summit provides independent insurance agents and their clients with market-leading workers' comp ... Georgia, Illinois, Indiana, Kentucky, North Carolina, South Carolina, Tennessee. #LI-Remote Job ...

Ability to key claims once repriced into the QicLink system. * Ability to communicate effectively ... Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend. Allied ...

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Insurance Claims Associate Remote information

What does an insurance claims associate do when working remotely?

An Insurance Claims Associate working remotely is responsible for processing and evaluating insurance claims submitted by policyholders. They review documentation, verify claim details, communicate with clients and other stakeholders, and ensure claims comply with company policies and regulations. Remote associates use digital tools to manage claims, handle customer inquiries, and keep accurate records, all while maintaining a high level of confidentiality and customer service. Their goal is to resolve claims efficiently and fairly, either approving payment or denying claims as appropriate.

What are some of the main challenges faced by remote insurance claims associates, and how can they be overcome?

One of the key challenges for remote Insurance Claims Associates is maintaining effective communication with both clients and internal teams, especially when handling complex claims. Staying organized and using digital collaboration tools can help bridge the gap and ensure timely follow-ups. Additionally, remote associates may need to be proactive in seeking support or clarification on policy details and claim procedures. Regular check-ins with supervisors and participating in virtual training sessions can help address these challenges and foster professional growth in a remote setting.

What are the key skills and qualifications needed to thrive as a remote insurance claims associate, and why are they important?

To thrive as an Insurance Claims Associate (Remote), you need strong analytical skills, attention to detail, and a background in insurance or related fields, often supported by a high school diploma or relevant certifications. Familiarity with claims management software, document processing systems, and Microsoft Office Suite is typically required. Exceptional communication, problem-solving abilities, and time management are standout soft skills for remote collaboration and customer service. These skills are crucial to efficiently process claims, ensure accuracy, and deliver a positive experience for policyholders in a virtual work environment.

What is the difference between Insurance Claims Associate Remote vs Insurance Claims Processor?

AspectInsurance Claims Associate RemoteInsurance Claims Processor
CredentialsHigh school diploma or equivalent; some roles may require insurance certificationsHigh school diploma or equivalent; insurance certifications beneficial
Work EnvironmentRemote, home-based settingTypically office-based or remote, depending on employer
Industry UsageCommon in insurance companies, third-party administratorsUsed in insurance companies, claims departments
Job FocusHandling claims inquiries, customer service, initial claim reviewProcessing claims, data entry, verifying information

Both roles involve working with insurance claims, often requiring similar credentials and industry experience. The main difference is that Insurance Claims Associate Remote emphasizes customer interaction and initial claim handling in a remote setting, while Insurance Claims Processor focuses more on data processing and verification, which can be in-office or remote.

What job categories do people searching Insurance Claims Associate Remote jobs in Illinois look for?

The top searched job categories for Insurance Claims Associate Remote jobs in Illinois are:

What cities in Illinois are hiring for Insurance Claims Associate Remote jobs?

Cities in Illinois with the most Insurance Claims Associate Remote job openings:

Claims Operations Associate I

Great American Insurance Group

Oregon, IL • Remote

$18.50 - $25.50/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 13 days ago


Great American Insurance Group rating

8.8

Company rating: 8.8 out of 10

Based on 31 frontline employees who took The Breakroom Quiz

56th of 311 rated insurance


Job description

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, 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 Claims Operations Associate I is an entry-level support role responsible for assisting with the setup, processing, and administration of workers' compensation claims. This position serves as a key member of the Claims Operations team, helping to ensure claims are accurately established, information is properly documented, and customer inquiries are addressed in a timely and professional manner. The role works closely with claims professionals and business partners while developing foundational knowledge of workers' compensation and insurance operations.

This is a remote, work-from-home position. Candidates must reside within the Pacific Time Zone and be available to work 37.5 hours a week from 8:00 a.m. to 4:30 p.m. Pacific Time, Monday through Friday.

Responsibilities

  • Respond to customer, claimant, and internal inquiries via phone, email, and voicemail in a timely and professional manner.

  • Set up and enter new claims while ensuring information is complete and accurate.

  • Review claim submissions and documentation to identify discrepancies or missing information.

  • Utilize claim management and workflow systems to track activities, manage workload, and maintain organization.

  • Verify coverage information and assist with basic claim administration tasks.

  • Process and support routine claim-related transactions in accordance with established procedures.

  • Investigate and gather information needed to resolve straightforward questions and service requests.

  • Document claim activity accurately and maintain detailed records within applicable systems.

  • Assist with creating and distributing general correspondence and claim-related communications.

  • Collaborate with claims professionals and operational partners to support efficient claim handling.

  • Escalate non-routine or complex issues to management or senior team members for resolution.

  • Maintain productivity and service standards while working in a remote environment.

  • Demonstrate professionalism, accuracy, and attention to detail in all interactions and work products.

  • Support special projects and perform additional duties as assigned.

Qualifications

  • High school diploma or equivalent required.

  • Experience in claims operations, claims processing, billing support, customer service, policy services, or a related insurance support role required.

  • Workers' compensation claims experience preferred.

  • Basic understanding of insurance concepts, terminology, and business processes.

  • Strong verbal and written communication skills with the ability to effectively interact with internal and external customers.

  • Demonstrated ability to work accurately, manage multiple priorities, and learn new systems and processes.

  • Must reside within the Pacific Time Zone, be available during standard Pacific business hours, and be self-motivated in a remote work environment.

Business Unit:

Strategic Comp


Salary Range:

$18.50 -$25.50

Benefits:

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 http://www.gaig.com/careers.

*Excludes seasonal employees and interns.


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