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Claim Operations Associate I/II
Great American Insurance Group. Develop a working knowledge of claim operations and resolve routine incoming operations-partner requests .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates a foundational understanding of claim operations, including payment functions, data management, and policy analysis. Capable of collaborating with partners and maintaining professionalism while resolving inquiries and issues.
Highest-signal resume keywords
Claim OperationsData ManagementProfessional Writing SkillsPolicy AnalysisRegulatory Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claim HandlingPayment FunctionsStatistical Coverage VerificationError CorrectionDocument UploadsSystems NavigationInformation GatheringTroubleshootingForms KnowledgeManagement Systems
Soft Skills
Collaborative MindsetCuriositySelf-Motivated
Tools & Technologies
Computerized SystemsOffice Technology
Industry Keywords
Claims OperationsContinuing EducationRegulatory Guidelines
About the role
Key responsibilities & impact- Develop a working knowledge of claim operations and resolve routine incoming operations-partner requests
- Perform claim operations and payment functions for one or more lines
- Establish new losses in the claim system, including statistical coverage verification and document uploads
- Support loss or expense payments, reserves, and refunds
- Perform systems functions, including determining errors and corrections on claim systems
- Update claim files and maintain, correct, and update data using office technology
- Learn basic claim handling and required support processes
- Compose, prepare, review, and respond to correspondence and inquiries requiring research
- Perform mail functions and research recipients for misdirected mail
- Use appropriate resources to complete support requirements
- Seek information to understand partners’ circumstances, problems, expectations, and needs to resolve inquiries and issues
- Share information with business partners regarding their claims while maintaining professionalism
- Utilize computerized systems for policy analysis, claims operations, data management, information gathering, and troubleshooting
- Assist Claims departments with beginner to intermediate tasks
- Assist in training less experienced Claim Operations Professionals
- Comply with company and regulatory guidelines
- Participate in industry-based continuing education
- Perform other assigned duties
Requirements
What you’ll need- High school diploma or equivalent
- 0–5 years of related experience
- Ability to navigate multiple systems
- Collaborative mindset
- Curiosity
- Professional writing skills
- Willingness to seek out resources
- Self-motivated
- Must be authorized to work in the United States without current or future employment visa sponsorship
- Beginner to intermediate knowledge of forms/systems, policy analysis, claim operations requirements, and related management systems
- Ability to perform work under supervision
- Ability to participate in industry-based continuing education
Benefits
Comp & perks- Medical coverage
- Dental coverage
- 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
- Competitive benefits packages for full-time and part-time employees