We are seeking an Insurance Claims Specialist for a remote contract position. In this role, you will be responsible for processing insurance claims efficiently and accurately, ensuring compliance with company policies and regulatory standards.

The Role

You will review claim documentation, verify policy details, and communicate with claimants to resolve issues promptly.

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.

Requirements

• 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.

What We Offer

This role provides a unique opportunity to work with a global leader in the insurance industry, contributing to streamlined claim processing and improved customer satisfaction while adhering to strict deadlines and maintaining high accuracy standards.

We welcome all qualified candidates to apply, as we hire based on skills and expertise.