[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.
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## Job OverviewWe 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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Don't worry if you don't meet every single requirement. We value a great attitude and a willingness to learn above all. Submit your application today!
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