[FULL TIME Remote] Claims Representative - Remote

An excellent opportunity has arisen for a Claims Representative - Remote! Embrace a modern work style with this fully Remote opportunity. This position requires a strong and diverse skillset in relevant areas to drive success. The salary for this position is set at a competitive salary.

 

 

## Job Overview We are seeking a detail-oriented Claims Representative to join our team. The ideal call center agent be responsible for processing and managing medical claims, ensuring accuracy and efficiency in claims resolution. ## Duties -inbound outbound call support. -good understanding of Microsoft excel. - Review and process health insurance claims for accuracy and completeness - Utilize financial software to assess and calculate claim amounts - Understand and apply ICD-9 coding to claims - Maintain medical records and documentation related to claims - Familiarity with Workers' Compensation laws and regulations - Verify insurance coverage and eligibility for claimants - Knowledge of medical terminology to accurately assess claims - Collaborate with medical billing teams for claim processing - Ensure proper insurance verification procedures are followed ## Requirements - Previous experience in clerical roles within the insurance or healthcare industry is preferred - Proficiency in financial software for claims processing. -proficient in Microsoft excel. -good call center experience. - Knowledge of Workers' Compensation laws is a plus - Strong attention to detail and accuracy in claim assessment - Excellent communication skills for interacting with claimants and internal teams Job Type: Full-time Pay: $54,007.00 - $58,516.00 per year Benefits: • Work from home Schedule: • 8 hour shift • Monday to Friday Education: • High school or equivalent (Preferred) Experience: • Microsoft Office: 1 year (Preferred) • Customer service: 1 year (Preferred) • Call center: 1 year (Preferred) • MEDICAL/HEALTHCARE CLAIMS: 1 year (Preferred) • Microsoft Excel: 1 year (Preferred) • INBOUND / OUTBOUND CALL: 1 year (Preferred) Work Location: Remote Apply Job!

 

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