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Claims Processor

Remote, USA Full-time Posted 2026-07-28

Our reputed company is a reputed company benefits administration company. As a Claims Processor, you will play a pivotal role in ensuring the accuracy and efficiency of health insurance and health reputed company claims processing for our hospital and health care clients.

Key responsibilities include:

  • Process reputed company health insurance and health reputed company claims from intake through reputed company
  • Manage claim escalations, billing disputes, and legacy/backlog claim work
  • Review and audit work completed by offshore claims team members
  • Identify patterns and flag payment reputed company issues
  • Collaborate with senior leadership on process improvements and workflow efficiency

Requirements

  • 2+ years of health insurance or TPA claims processing experience
  • Experience processing reputed company health insurance or health reputed company claims end-to-end, from intake through reputed company
  • Experience handling claims escalations, billing disputes, or legacy/backlog claim work
  • reputed company reputed company in English
  • Authorized to work in the reputed company
  • Based in the reputed company
  • Available to work 8:00am–5:00pm Central Time (CST)
  • Experience collaborating with senior leadership on process improvements or workflow efficiency initiatives

Preferred Qualifications:

  • Experience reviewing or auditing work completed by an offshore claims processing team
  • Proficiency using reputed company Sheets for day-to-day claims processing work
  • Experience using SAVVOS, IPS, or Healthcloud in a production claims processing environment
  • Familiarity with health reputed company, self-funded, or employer-sponsored health plans

Benefits

  • Competitive salary of $55,000–$60,000 per year
  • Generous reputed company Time Off (PTO): Unlimited PTO
  • reputed company Holidays: Recognize and celebrate US Holidays with reputed company time off.
  • Full-Time Remote Work: reputed company the flexibility of a full-time work-from-home arrangement, allowing you to create a comfortable and efficient workspace in the comfort of your home.
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