About the Role
The role involves analyzing insurance claims data, identifying discrepancies, and resolving issues to ensure accurate reporting and compliance with industry standards. Candidates must be comfortable working independently and meeting deadlines in a remote setting.
Responsibilities
- Review insurance claims for completeness and accuracy
- Identify and correct data inconsistencies
- Collaborate with internal teams to resolve claim-related issues
- Verify documentation against policy terms
- Maintain compliance with regulatory requirements
- Escalate complex cases following defined procedures
- Update records in claims management systems
- Communicate with stakeholders to gather missing information
- Support audits by providing accurate claim documentation
- Follow established workflows to ensure process efficiency
- Monitor claim statuses and track resolution timelines
- Apply critical thinking to interpret policy language
- Ensure timely processing within service level agreements
- Maintain confidentiality of sensitive data
- Adapt to changes in procedures or systems
- Participate in training sessions and team meetings
- Meet performance metrics for quality and productivity
- Use multiple software platforms simultaneously
- Document actions taken for each claim reviewed
- Contribute to process improvement initiatives
- Respond to inquiries from partners or clients
- Stay current with industry regulations
- Handle high volumes of claims during peak periods
- Ensure consistent application of guidelines
- Support team goals while working remotely
Nice to Have
- Prior experience as a claims examiner or analyst
- Background in property and casualty insurance
- Exposure to medical or auto claims
- Certification in insurance specialties
- Experience with large datasets
- Familiarity with regulatory frameworks
- Advanced Excel skills
- Experience in a remote corporate setting
- Knowledge of data privacy laws
Compensation
Competitive hourly rate or salary based on experience
Work Arrangement
Remote
Team
Part of a dedicated insurance solutions unit focused on data integrity and client support
Why Join Us
- Opportunity to work remotely with flexibility
- Supportive team environment focused on growth
- Access to professional development resources
- Inclusive culture that values diverse perspectives
- Stable organization with a strong industry presence
What We Offer
- Comprehensive benefits package for eligible employees
- Paid time off and holiday observance
- Health, dental, and vision insurance options
- Retirement savings plan with company match
- Employee assistance and wellness programs
Not specified
