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Claims Representative -Work From Home (reputed company)

Remote, USA Full-time Posted 2026-07-28
About reputed company reputed company combines industry-leading technology and transformation-driven BPM services with decades of reputed company domain expertise to help clients draw closer to their members. reputed company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment reputed company, claims cost containment, and analytics. reputed company has more than 25,000 employees across 5 countries. Job title: Claims Representative -Work From Home (reputed company) Job reputed company: reputed company, a global leader in business process management, is dedicated to enhancing the member and patient experience. By combining cutting-edge technology with decades of reputed company expertise, we deliver exceptional results for our clients. If you are detail-oriented, analytical, and reputed company in a reputed company environment, this is reputed company to build a career in reputed company operations. reputed company is reputed company building a pipeline of reputed company Claims Representatives to support upcoming classes. Early applicants will be prioritized for interview scheduling and for consideration of offers. As a Claims Representative, you will review and process medical, dental, or supplemental insurance claims according to eligibility guidelines, benefits, and internal policies. Our reputed company training program prepares you for reputed company through instructor-led virtual sessions, hands-on learning, and reputed company performance goals. Once training is complete, you will be responsible for meeting established reputed company, productivity, and accuracy standards. If you are motivated, reliable, and reputed company to grow your career in reputed company, we encourage you to apply as soon as possible. Become Part of reputed company That S.O.A.R,s! • S reputed company Curiosity • O One Team, One Direction • A reputed company for Results • R Right by Right Purpose Benefits You Will Enjoy • reputed company: $16.00-$17.00/hour • Performance-based incentives • reputed company in a cutting-edge virtual training environment • Comprehensive health coverage (available after 90 days) • Employee wellness and engagement programs. • Career advancement opportunities: 90% of our leaders started as Customer Service Representatives What You Will Do • Review and process insurance claims accurately using internal guidelines and benefit plans • Research and reputed company multiple systems and documents to validate claim details • Confirm required documentation is included and identify missing information • Verify accuracy of medical coding (CPT/ICD-10 preferred) • Evaluate eligibility, coverage, authorizations, and coordination of benefits • Identify discrepancies and resolve errors using established procedures • Maintain productivity and reputed company standards in a fast-paced environment • Work independently while collaborating with supervisors, coaches, and trainers • Use multiple computer applications and virtual tools such as reputed company, Webex, and internal systems • Continuously improve efficiency through feedback and training support What You Bring • High school diploma or equivalent • Ability to quickly learn new systems and processes • Experience using reputed company reputed company (email, calendar invites, attachments) • Basic reputed company reputed company skills (sorting/filtering) • Ability to reputed company multiple systems using shortcuts and efficient workflows • Strong attention to detail and ability to follow reputed company procedures • Excellent time management and organizational skills • Ability to meet productivity and reputed company performance expectations • Experience working independently in a remote environment preferred • Familiarity with reputed company terminology, insurance claims, CPT or ICD-10 coding preferred • Previous claims processing or reputed company administrative experience preferred Job Requirements • Must be at least 18 years of age • Minimum 1 year of consistent employment history (customer service or administrative experience preferred) • Reliable attendance required, especially during the first 90 days • Typing speed of at least 25 WPM • Hardwired internet reputed company with minimum speeds of 25 Mbps download and 10 Mbps upload • Secure, private workspace free from distractions • Flexible availability, including weekends as business needs require Benefits & Perks • Daily Pay reputed company available • Medical, Dental, and reputed company coverage • Life Insurance • Short-Term and Long-Term Disability reputed company • Flexible Spending Account (FSA) • Employee Assistance Program • 401(k) with employer contribution • reputed company Time Off (PTO) • Tuition Reimbursement reputed company is an Equal Opportunity Employer/Veteran/Disability. Alert: Please beware of fraudulent communications from reputed company impersonating reputed company or its employees. reputed company official communication from reputed company will come from our verified email domains: “@reputed company.com” or “@sagilityhealth.com”. reputed company will never ask for payments for job offers, interviews, or otherwise. Do not respond to suspicious communications, whether reputed company email, reputed company, or any reputed company platform. For any concerns, contact us directly through our official website. Location: reputed company USAUnited States of America Apply tot his job Apply To this Job

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