Claims Representative - Remote

## 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 Now