ZipRecruiter

Log In

1

Direct Claims Jobs in Alabama (NOW HIRING)

Workplace Options

Claims Analyst

Birmingham, AL · On-site

$20 - $22/hr

Reporting to the Director, Claims Administration, this position is responsible for the accurate and timely processing of Claims data. The position will also provide clerical support to the Finance ...

Workplace Options

Claims Analyst

Birmingham, AL · On-site

Reporting to the Director, Claims Administration, this position is responsible for the accurate and timely processing of Claims data. The position will also provide clerical support to the Finance ...

Kemper

SVP, Chief Claims Officer

Birmingham, AL · On-site

$250K - $350K/yr

Oversees all aspects of claims handling for the specialty auto business, including liability, physical damage, litigation, SIU (Special Investigations Unit), and vendor management, with a strong ...

next page

Showing results 1-20

All JobsDirect Claims JobsDirect Claims Jobs in Alabama

Direct Claims information

What is a direct claim?

Direct claims refer to insurance claims that are filed directly by the policyholder with their own insurance company, rather than going through a third party or the at-fault party's insurer. This process is common in situations like auto accidents, where the policyholder seeks compensation for damages or losses under their own policy. Direct claims help streamline the process, reduce delays, and ensure the policyholder receives prompt assistance and settlements. They are often associated with 'first-party' insurance coverage, such as collision, comprehensive, or health insurance claims.

Can you work remotely in direct claims jobs?

Many direct claims jobs offer remote work options, especially for roles involving claims processing, customer service, or administrative tasks. Employers may require familiarity with claims management software and good communication skills, and remote positions often involve standard office hours and secure internet connections.

Do I need a degree to be a direct claims specialist?

A degree is not typically required to become a direct claims specialist, but relevant experience, knowledge of insurance policies, and strong communication skills are important. Many employers provide on-the-job training and may prefer candidates with a high school diploma or equivalent. Certifications in insurance or claims processing can enhance job prospects.

What are some common challenges faced by professionals in direct claims roles, and how can they effectively manage these challenges?

Professionals in Direct Claims often face the challenge of balancing a high volume of claims with the need for thorough investigation and timely resolution. Managing customer expectations and handling sensitive situations, such as denied claims or complex cases, can also be demanding. Effective communication, strong organizational skills, and staying updated on policy guidelines are crucial for success. Building collaborative relationships with adjusters, underwriters, and other departments helps ensure accurate and efficient claims processing.

What are the key skills and qualifications needed to thrive as a direct claims specialist?

To thrive as a Direct Claims Specialist, you need a solid understanding of insurance policies, claims processes, and relevant legal regulations, often supported by a degree in business, finance, or a related field. Familiarity with claims management software, customer relationship management (CRM) systems, and sometimes industry certifications like AIC or CPCU is typical. Exceptional attention to detail, problem-solving abilities, and strong communication skills set top performers apart in this role. These skills and qualifications ensure claims are processed accurately and efficiently, leading to customer satisfaction and minimized risk for the insurer.

What is the difference between Direct Claims vs Claims Adjuster?

AspectDirect ClaimsClaims Adjuster
CredentialsInsurance license, knowledge of policiesInsurance license, sometimes certifications like AIC or CPCU
Work EnvironmentCustomer service, office or remoteFieldwork, office, or remote
Employer & IndustryInsurance companies, agenciesInsurance companies, third-party administrators
Search & Comparison IntentUnderstanding direct claims handlingEvaluating claims adjustment roles

Direct Claims professionals primarily handle claims directly from policyholders, focusing on processing and resolving claims within the insurance company. Claims Adjusters evaluate, investigate, and settle claims, often working in the field or remotely. Both roles require insurance licensing, but Claims Adjusters may have additional certifications. While their work overlaps in claims processing, Direct Claims roles are more customer-facing, whereas Claims Adjusters focus on assessment and negotiation.

What are popular job titles related to Direct Claims jobs in Alabama? For Direct Claims jobs in Alabama, the most frequently searched job titles are:
What job categories do people searching Direct Claims jobs in Alabama look for? The top searched job categories for Direct Claims jobs in Alabama are:
What cities in Alabama are hiring for Direct Claims jobs? Cities in Alabama with the most Direct Claims job openings:
Direct Claims jobs near you

Claims Analyst

Workplace Options

Birmingham, AL • On-site

$20 - $22/hr

Full-time

Posted 5 days ago

Job description

About this opportunity:
Workplace Options is proud to support our sister organisation, Behavioral Health Systems (BHS), in recruiting a Claims Analyst.
If you're passionate about building strong provider networks and making a real impact, this is your chance to be part of something meaningful and transformative.
BHS operates one of the nation's largest specialty preferred provider organizations (PPO), which is comprised of psychiatrists, psychologists, social workers, EAP providers as well as facility networks including hospitals, rehab/residential treatment centers, partial hospitalization programs and intensive outpatient programs. BHS fully credentials and panels their own network of providers.
Current Opportunity: Claims Analyst
Location: Birmingham, Alabama
Full-time/Part-time: This is a full-time (40 hours per week) position
Salary: $20.00 - $22.00 per hour plus competitive benefits offering
What you will do:
Reporting to the Director, Claims Administration, this position is responsible for the accurate and timely processing of Claims data. The position will also provide clerical support to the Finance Division as needed, as well as provide customer service duties.
Responsibilities:
Under the general direction and guidance of the Director, Claims Administration, and through direction provided by other managers for whom work is performed:
  • Transferring data from paper formats into computer files or database systems
  • Creating spreadsheets with large numbers of figures without mistakes
  • Auditing/verification of data by comparing it to source documents
  • Updating existing data
  • Retrieving data from the database or electronic files as requested
  • Sort and organize paperwork after entering data to ensure it is not lost
  • Working with multiple divisions/departments
  • Perform accurate and timely data entry related to claims processing, and related files and reports.
  • Reconcile and verify accuracy of all information posted and generated.
  • Process monthly client billings.
  • Maintain accurate records on pending/denied claims, processed and paid claims.
  • Issue denial/EOB letters as appropriate.
  • Maintain orderly files, records, and reports as directed.
  • Provide back-up clerical support to Finance Division.
  • Provides customer service to providers and members.
  • Performs other duties as assigned

Qualifications:
  • High school diploma or equivalent required.
  • Minimum of 1 year of proven experience in a data entry role or similar position (e.g., call center representative, banking representative, or related office-based role).
  • Experience working in positions that require extended periods of sitting and computer-based work in an office environment.
  • Demonstrated ability to work effectively in a fast-paced environment.
  • Proven experience collaborating as part of a team.
  • Strong attention to detail with a high level of accuracy.
  • Excellent written and verbal communication skills, with strong integrity and the ability to analyze and process data efficiently.
  • Strong customer service skills, including professional telephone communication experience.
  • Effective multitasking, time management, and organizational skills.
  • Solid filing and record-keeping skills.
  • Flexibility to work overtime as needed.
  • Strong work ethic and dependable attendance record with consistent employment history.
  • Working knowledge of Microsoft Office applications, including Word and Excel.
  • Ability to maintain focus for extended periods while performing tasks accurately and efficiently.
  • Proficient typing skills, including 10-key data entry.
For further information about BHS please see https://behavioralhealthsystems.com/providers/
Workplace Options collects and processes personal data in accordance with applicable data protection laws. If you are a European job applicant, refer to our Privacy Notice for further details (https://www.workplaceoptions.com/privacy-notice-for-recruitment/).

Apply