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Resolve Insurance Claims Remotely
2 weeks ago
We are seeking a skilled Claims Resolution Specialist to join our team. The ideal candidate will have strong follow-through, close attention to detail, and the ability to multi-task.
This role requires an individual who can work independently, with equipment provided, but personal phone required for outbound calls.
- Review pending, held, denied or incorrectly paid claims by insurance carriers.
- Identify causes of held claims and address issues causing them to remain on hold.
- Aim to identify why claims have been denied, handle follow-up accordingly.
- Provide necessary information to insurance companies to process claims correctly and/or send appeals.
- Handle all correspondence via mail, email, and any necessary refunds.
- Perform other duties as assigned by management.
The successful candidate will impact their line of business by ensuring all insurance rules, regulations, and timely filing limits are adhered to.
This is a remote opportunity working standard business hours on an Eastern Time schedule.
What You'll Need:To succeed in this role, you will need:
- Strong analytical skills to review and resolve complex claims.
- Excellent communication and interpersonal skills to effectively collaborate with insurance carriers and internal teams.
- Ability to work independently and manage multiple tasks and priorities.
- Familiarity with insurance industry regulations and procedures.
- Proficiency in Microsoft Office Suite and other relevant software applications.
We offer a comprehensive benefits package, including 401(k) Plan and opportunities for professional growth and development.