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Customer service Representative - Remote (Claims & Insurance)

Remote, USA Full-time Posted 2026-06-17

## 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: $13.50 per hour Expected hours: 40 per week 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) ? spreadsheet in excel: 1 year (Preferred) Work Location: Remote Apply Job!

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