Claims Specialist (Remote)
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About the Role
Role:Claims Specialist (Remote) Location: Remote (Work from Anywhere) Job Type: Contract Payout:$30 - $65/hour Role Overview: We are hiring for one of our clients, seeking a Insurance Claim Specialist to work on a contract basis.
Key Skills for This Role
Full Job Posting
Overview
- **Role**
- :Claims Specialist (Remote)
- **Location**
- : Remote (Work from Anywhere)
- **Job Type**
- : Contract
- **Payout**
- :$30 - $65/hour
Role Overview
We are hiring for one of our clients, seeking a Insurance Claim Specialist to work on a contract basis.
The role involves processing insurance claims with accuracy and efficiency, ensuring compliance with company policies and regulatory standards.
You will review claim documentation, verify policy details, and communicate with claimants to resolve issues promptly.
Key Responsibilities
- Review and process insurance claims submitted through the platform, ensuring all required documentation is complete and accurate.
- Verify claim details against policy terms, including coverage limits, exclusions, and deductibles.
- Communicate with claimants, healthcare providers, and other stakeholders to gather missing information or clarify discrepancies.
- Determine eligibility for claims and calculate payouts based on policy terms and applicable regulations.
- Maintain accurate records of claim decisions and update the system with relevant status updates.
Required Skills & Qualifications
- Experience reviewing and processing insurance claims in a fast-paced environment.
- Proficiency in insurance claim software or platforms, including data entry and record-keeping systems.
- Strong attention to detail to ensure accuracy in claim verification and payout calculations.
- Ability to interpret insurance policies and apply terms correctly to individual claims.
- Excellent communication skills to interact with claimants and stakeholders professionally.
- Familiarity with regulatory compliance requirements in the insurance industry.
More About The Opportunity
This role offers a unique opportunity to work with a global leader in the Insurance industry, contributing to streamlined claim processing and improved customer satisfaction.
The position requires adherence to strict deadlines while maintaining high accuracy standards.
Equal Opportunity Employer
We hire based on skills and expertise.
All qualified candidates are welcome regardless of background, experience, or prior employment history.
Applications are reviewed solely on demonstrated technical ability and qualifications.
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