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Insurance Claims Associate Remote Jobs in New York

... Operations Associate who takes ownership, drives execution, and ensures that both tasksand ... Health insurance stipend * Permanently remote * Equipment provided Responsibilities: * Own day-to ...

Senior Claims Specialist, Cyber

Red Bank, NJ · On-site +1

$120K - $150K/yr

... insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk ... Attain expert comfort level in remote and work from home virtual working practices and platforms ...

Senior Claims Specialist, Cyber

New York, NY · On-site +1

$120K - $150K/yr

... insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk ... Attain expert comfort level in remote and work from home virtual working practices and platforms ...

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Insurance Claims Associate Remote information

What does an insurance claims associate do when working remotely?

An Insurance Claims Associate working remotely is responsible for processing and evaluating insurance claims submitted by policyholders. They review documentation, verify claim details, communicate with clients and other stakeholders, and ensure claims comply with company policies and regulations. Remote associates use digital tools to manage claims, handle customer inquiries, and keep accurate records, all while maintaining a high level of confidentiality and customer service. Their goal is to resolve claims efficiently and fairly, either approving payment or denying claims as appropriate.

What are some of the main challenges faced by remote insurance claims associates, and how can they be overcome?

One of the key challenges for remote Insurance Claims Associates is maintaining effective communication with both clients and internal teams, especially when handling complex claims. Staying organized and using digital collaboration tools can help bridge the gap and ensure timely follow-ups. Additionally, remote associates may need to be proactive in seeking support or clarification on policy details and claim procedures. Regular check-ins with supervisors and participating in virtual training sessions can help address these challenges and foster professional growth in a remote setting.

What are the key skills and qualifications needed to thrive as a remote insurance claims associate, and why are they important?

To thrive as an Insurance Claims Associate (Remote), you need strong analytical skills, attention to detail, and a background in insurance or related fields, often supported by a high school diploma or relevant certifications. Familiarity with claims management software, document processing systems, and Microsoft Office Suite is typically required. Exceptional communication, problem-solving abilities, and time management are standout soft skills for remote collaboration and customer service. These skills are crucial to efficiently process claims, ensure accuracy, and deliver a positive experience for policyholders in a virtual work environment.

What is the difference between Insurance Claims Associate Remote vs Insurance Claims Processor?

AspectInsurance Claims Associate RemoteInsurance Claims Processor
CredentialsHigh school diploma or equivalent; some roles may require insurance certificationsHigh school diploma or equivalent; insurance certifications beneficial
Work EnvironmentRemote, home-based settingTypically office-based or remote, depending on employer
Industry UsageCommon in insurance companies, third-party administratorsUsed in insurance companies, claims departments
Job FocusHandling claims inquiries, customer service, initial claim reviewProcessing claims, data entry, verifying information

Both roles involve working with insurance claims, often requiring similar credentials and industry experience. The main difference is that Insurance Claims Associate Remote emphasizes customer interaction and initial claim handling in a remote setting, while Insurance Claims Processor focuses more on data processing and verification, which can be in-office or remote.

What job categories do people searching Insurance Claims Associate Remote jobs in New York look for?

The top searched job categories for Insurance Claims Associate Remote jobs in New York are:

What cities in New York are hiring for Insurance Claims Associate Remote jobs?

Cities in New York with the most Insurance Claims Associate Remote job openings:

Customer Solution & Claims Associate (Remote)

Nestle Operational Services Worldwide SA

Bridgewater, NJ • On-site, Remote

$14.75 - $20.50/hr

Full-time

Medical, Retirement

This job post has expired today. Applications are no longer accepted.


Job description

At Nestlé Health Science, we believe that nutrition, science, and wellness must merge, not collide. Here, we embrace the intrinsic connections of these three pillars, harnessing their collective strength to empower healthier lives. Our broad product portfolio includes renowned brands like Garden of Life®, Nature's Bounty®, Vital Proteins®, Orgain®, Nuun®, BOOST®, Carnation Breakfast Essentials®, Peptamen®, Compleat Organic Blends®, and more. We also have extensive pharmaceutical expertise, offering innovative medicines that aim to prevent, manage, and treat gastrointestinal and metabolic-related diseases.
At Nestlé Health Science, we bring our best for better lives. Our people are challenged to bring fresh, diverse views and make bold moves to empower healthier lives through nutrition. We know brilliant ideas can come from anyone, anywhere. Here we embrace the entrepreneurial spirit and collaborate with teams that champion focused and forward thinking. We are committed to fostering professional growth and celebrating the achievements of our people along the way. We offer dynamic career paths, robust development, opportunities to learn from talented colleagues around the globe, and benefits that support physical, financial, and emotional wellbeing.
Join us to innovate for impact and reimagine the future of health and nutrition for patients and consumers.
Position Summary:
The Customer Solutions Associate serves as the primary point of contact and advocate for the customer and is responsible to optimize orders while driving efficiency and minimizing waste throughout the E2E Order to Cash process flow.
Important Note:
  • This position is remote. Preference will be given to candidates who reside within the Tri-State area (New York, New Jersey, and Connecticut), Arlington, VA & Solon, OH.
  • This position will report to Nestle/Nutrition & Health.

Key Responsibilities:
Demand Capture:
  • Capture incoming telephone and email demand from customers and ensure all required information is obtained to enable error-free order creation.
  • Create and categorize all types of interaction and feedback from customers, resolve if possible or assign to the appropriate team for resolution.

Order Filter:
  • Regularly monitor open orders and ensure adherence to the tasks and cadence
  • Collaborate with customer or cross functional business partners to resolve blocked orders within SLA such as Accounts Receivables
  • Optimize orders for logistical efficiency (e.g. maximize payload, grouping / splitting orders)

Order Fulfillment:
  • Contact customer when required due to Out of Stock or Stock Allocation issues
  • Collaborate with Order Fulfillment team to resolve issues preventing delivery note creation (e.g. delivery block)
  • Contact customer and propose resolution if issues identified post-delivery note due to Transportation or Warehousing issues (such as appointment scheduling, delivery delay, picking issues etc.)

Returns and Refusals:
  • Be principal customer contact for capturing, creating and registering all return requests
  • Assess compliance of Return Requests according to Market Return Policy Conditions
  • Obtain authorization from Sales for return requests that exceed Market Return Policy Thresholds
  • Validate returned product is in sellable condition and ensure all relevant documentation is provided for analysis of credit / debit value
  • Coordinate destruction or donation of goods when physical return is not warranted
  • Ensure refusals created by the OS&D team in Transportation contain appropriate order reason code and correct pricing prior to billing
  • Analyze reasons for refusals and contact customers to propose mitigation actions to reduce / eliminate in the future

Billing:
  • Collaborate with Billing in the resolution of billing issues that require customer contact

Additional Responsibilities:
  • Collaborate with key stakeholders and business partners (such as CFSC, Sales, Logistics, COC etc.) to ensure the quality of processes are aligned to meet the business and customer needs
  • Provide 360° visibility on status of orders to customers and internal teams
  • Apply appropriate root cause reason codes following global Reason Code Methodology
  • Identify, analyze and initiate the escalation process based on escalation criteria

Experience & Education Requirements:
  • High school degree or GED required
  • Bachelor's degree preferred
  • 2+ experience in Supply Chain preferred (e.g Order Management, Distribution, Inventory Management, Transportation, Demand & Supply Planning Etc)
  • Availability / flexibility to work different shifts based on customer geography/time zone; or 7-day operations
  • Must have reliable internet service provider with direct access to modem for ethernet connection (no wi-fi or hot spot allowed) if working from home, as approved as well as dedicated work area to handle customer calls and work equipment.

SKILLS:
  • Excellent written and verbal communication skills
  • Excellent analytical aptitude with a proven ability to analyze/interpret data
  • Well-organized, methodical thinker with excellent decision-making skills
  • Strong and creative problem-solving skills
  • Proficiency in Microsoft office applications (e.g. Word, Excel, Outlook)
  • Ability to work in a fast-paced environment and handle multiple priorities
  • Ability to work independently with minimal supervision
  • Strong Customer Service mindset and passion for delighting customers internally and externally
  • Demonstrates a strong desire to develop trust and long-term relationships
  • Proactively seeks continuous process and service improvements
  • Strong result-orientation

#LI-KO1
The approximate pay range for this position is $45,000.00 to $55,000.00. Please note that the pay range provided is a good faith estimate for the position at the time of posting. Final compensation may vary based on factors including but not limited to knowledge, skills and abilities as well as geographic location.
Nestlé offers performance-based incentives and a competitive total rewards package, which includes a 401k with company match, healthcare coverage and a broad range of other benefits. Incentives and/or benefit packages may vary depending on the position. Learn more at About Us | Nestlé Careers (nestlejobs.com)
It is our business imperative to remain a very inclusive workplace.
To our veterans and separated service members, you're at the forefront of our minds as we recruit top talent to join Nestlé. The skills you've gained while serving our country, such as flexibility, agility, and leadership, are much like the skills that will make you successful in this role. In addition, with our commitment to an inclusive work environment, we recognize the exceptional engagement and innovation displayed by individuals with disabilities. Nestlé seeks such skilled and qualified individuals to share our mission where you'll join a cohort of others who have chosen to call Nestlé home.
The Nestlé Companies are equal employment opportunity employers. All applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status or any other characteristic protected by applicable law. Prior to the next step in the recruiting process, we welcome you to inform us confidentially if you may require any special accommodations in order to participate fully in our recruitment experience. Contact us at accommodations@nestle.com or please dial 711 and provide this number to the operator: 1-800-321-6467.
This position is not eligible for Visa Sponsorship.
Review our applicant privacy notice before applying at https://www.nestlejobs.com/privacy.
Job Requisition: 413154
At Nestlé Health Science, we believe that nutrition, science, and wellness must merge, not collide. Here, we embrace the intrinsic connections of these three pillars, harnessing their collective strength to empower healthier lives. Our broad product portfolio includes renowned brands like Garden of Life®, Nature's Bounty®, Vital Proteins®, Orgain®, Nuun®, BOOST®, Carnation Breakfast Essentials®, Peptamen®, Compleat Organic Blends®, and more. We also have extensive pharmaceutical expertise, offering innovative medicines that aim to prevent, manage, and treat gastrointestinal and metabolic-related diseases.
At Nestlé Health Science, we bring our best for better lives. Our people are challenged to bring fresh, diverse views and make bold moves to empower healthier lives through nutrition. We know brilliant ideas can come from anyone, anywhere. Here we embrace the entrepreneurial spirit and collaborate with teams that champion focused and forward thinking. We are committed to fostering professional growth and celebrating the achievements of our people along the way. We offer dynamic career paths, robust development, opportunities to learn from talented colleagues around the globe, and benefits that support physical, financial, and emotional wellbeing.
Join us to innovate for impact and reimagine the future of health and nutrition for patients and consumers.
Position Summary:
The Customer Solutions Associate serves as the primary point of contact and advocate for the customer and is responsible to optimize orders while driving efficiency and minimizing waste throughout the E2E Order to Cash process flow.
Important Note:
  • This position is remote. Preference will be given to candidates who reside within the Tri-State area (New York, New Jersey, and Connecticut), Arlington, VA & Solon, OH.
  • This position will report to Nestle/Nutrition & Health.

Key Responsibilities:
Demand Capture:
  • Capture incoming telephone and email demand from customers and ensure all required information is obtained to enable error-free order creation.
  • Create and categorize all types of interaction and feedback from customers, resolve if possible or assign to the appropriate team for resolution.

Order Filter:
  • Regularly monitor open orders and ensure adherence to the tasks and cadence
  • Collaborate with customer or cross functional business partners to resolve blocked orders within SLA such as Accounts Receivables
  • Optimize orders for logistical efficiency (e.g. maximize payload, grouping / splitting orders)

Order Fulfillment:
  • Contact customer when required due to Out of Stock or Stock Allocation issues
  • Collaborate with Order Fulfillment team to resolve issues preventing delivery note creation (e.g. delivery block)
  • Contact customer and propose resolution if issues identified post-delivery note due to Transportation or Warehousing issues (such as appointment scheduling, delivery delay, picking issues etc.)

Returns and Refusals:
  • Be principal customer contact for capturing, creating and registering all return requests
  • Assess compliance of Return Requests according to Market Return Policy Conditions
  • Obtain authorization from Sales for return requests that exceed Market Return Policy Thresholds
  • Validate returned product is in sellable condition and ensure all relevant documentation is provided for analysis of credit / debit value
  • Coordinate destruction or donation of goods when physical return is not warranted
  • Ensure refusals created by the OS&D team in Transportation contain appropriate order reason code and correct pricing prior to billing
  • Analyze reasons for refusals and contact customers to propose mitigation actions to reduce / eliminate in the future

Billing:
  • Collaborate with Billing in the resolution of billing issues that require customer contact

Additional Responsibilities:
  • Collaborate with key stakeholders and business partners (such as CFSC, Sales, Logistics, COC etc.) to ensure the quality of processes are aligned to meet the business and customer needs
  • Provide 360° visibility on status of orders to customers and internal teams
  • Apply appropriate root cause reason codes following global Reason Code Methodology
  • Identify, analyze and initiate the escalation process based on escalation criteria

Experience & Education Requirements:
  • High school degree or GED required
  • Bachelor's degree preferred
  • 2+ experience in Supply Chain preferred (e.g Order Management, Distribution, Inventory Management, Transportation, Demand & Supply Planning Etc)
  • Availability / flexibility to work different shifts based on customer geography/time zone; or 7-day operations
  • Must have reliable internet service provider with direct access to modem for ethernet connection (no wi-fi or hot spot allowed) if working from home, as approved as well as dedicated work area to handle customer calls and work equipment.

SKILLS:
  • Excellent written and verbal communication skills
  • Excellent analytical aptitude with a proven ability to analyze/interpret data
  • Well-organized, methodical thinker with excellent decision-making skills
  • Strong and creative problem-solving skills
  • Proficiency in Microsoft office applications (e.g. Word, Excel, Outlook)
  • Ability to work in a fast-paced environment and handle multiple priorities
  • Ability to work independently with minimal supervision
  • Strong Customer Service mindset and passion for delighting customers internally and externally
  • Demonstrates a strong desire to develop trust and long-term relationships
  • Proactively seeks continuous process and service improvements
  • Strong result-orientation

#LI-KO1
The approximate pay range for this position is $45,000.00 to $55,000.00. Please note that the pay range provided is a good faith estimate for the position at the time of posting. Final compensation may vary based on factors including but not limited to