The main function of the Benefits Processor is to analyze disability claim information, make benefit decisions and payments on lower liability claims; administer low maintenance claims; provide ...
The main function of the Benefits Processor is to analyze disability claim information, make benefit decisions and payments on lower liability claims; administer low maintenance claims; provide ...
Liability Claims Assistant
Portland, OR · Remote
$16.90 - $23.42/hr
This is a remote role. This role is part-time with the potential for full-time employment. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Sets up new claims * Process incoming faxes * Input notes/diary ...
Quick apply
Liability Claims Assistant
Portland, OR · Remote
$16.90 - $23.42/hr
This is a remote role. This role is part-time with the potential for full-time employment. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Sets up new claims * Process incoming faxes * Input notes/diary ...
Through the utilization of innovative platforms and tools, you will engage in negotiation processes ... claims successfully. Remote Work: This position is a permanent remote home-based role. Your home ...
Through the utilization of innovative platforms and tools, you will engage in negotiation processes ... claims successfully. Remote Work: This position is a permanent remote home-based role. Your home ...
Claims Specialist
Portland, OR · Remote
$53K - $85.47K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... process taking into consideration experience, qualifications, and overall fit for the role. The ...
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Claims Specialist
Portland, OR · Remote
$53K - $85.47K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... process taking into consideration experience, qualifications, and overall fit for the role. The ...
Liability Claims Assistant
Portland, OR · Remote
$16.90 - $23.42/hr
This is a remote role. This role is part-time with the potential for full-time employment. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Sets up new claims * Process incoming faxes * Input notes/diary ...
Liability Claims Assistant
Portland, OR · Remote
$16.90 - $23.42/hr
This is a remote role. This role is part-time with the potential for full-time employment. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Sets up new claims * Process incoming faxes * Input notes/diary ...
WC Claims Consultant
Portland, OR · On-site +1
$80K - $110K/yr
Provide claims management training, "WC 101" to clients to educate them on the claims process ... Remote
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WC Claims Consultant
Portland, OR · On-site +1
$80K - $110K/yr
Provide claims management training, "WC 101" to clients to educate them on the claims process ... Remote
WC Claims Consultant
Portland, OR · On-site +1
$80K - $110K/yr
Provide claims management training, "WC 101" to clients to educate them on the claims process ... LI-Remote Location Type Hybrid, RemoteQualifications: * Contact with clients, carrier and TPA ...
WC Claims Consultant
Portland, OR · On-site +1
$80K - $110K/yr
Provide claims management training, "WC 101" to clients to educate them on the claims process ... LI-Remote Location Type Hybrid, RemoteQualifications: * Contact with clients, carrier and TPA ...
Medical Only Claims Specialist
Portland, OR · Remote
$16.74 - $26.92/hr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... process taking into consideration experience, qualifications, and overall fit for the role. The ...
Quick apply
Medical Only Claims Specialist
Portland, OR · Remote
$16.74 - $26.92/hr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... process taking into consideration experience, qualifications, and overall fit for the role. The ...
Medical Claims Auditor
$57.50K - $83.50K/yr
The Medical Claims Auditor manages the process by which claims failing established clinical-related ... Our Investment in You: · Full-time remote work · Competitive salaries · Excellent benefits Key ...
Medical Claims Auditor
$57.50K - $83.50K/yr
The Medical Claims Auditor manages the process by which claims failing established clinical-related ... Our Investment in You: · Full-time remote work · Competitive salaries · Excellent benefits Key ...
Voluntary Benefits Claims Manager
$45K - $70K/yr
Fully Remote Group Benefit Solutions delivers comprehensive insurance and absence management ... Proactive claims processing may also occur based on customer agreements. Determine eligibility of ...
Voluntary Benefits Claims Manager
$45K - $70K/yr
Fully Remote Group Benefit Solutions delivers comprehensive insurance and absence management ... Proactive claims processing may also occur based on customer agreements. Determine eligibility of ...
WC Claims Consultant
Portland, OR · On-site +1
$80K - $110K/yr
Provide claims management training, "WC 101" to clients to educate them on the claims process ... Remote Location Type
WC Claims Consultant
Portland, OR · On-site +1
$80K - $110K/yr
Provide claims management training, "WC 101" to clients to educate them on the claims process ... Remote Location Type
Workers Compensation Claims Trainee - Northwest
Portland, OR · Remote
$60K/yr
Fully remote (candidates must physically reside in states specified although the role is remote ... claims process and build professional relationships within the organization. * Gradual Claim ...
Workers Compensation Claims Trainee - Northwest
Portland, OR · Remote
$60K/yr
Fully remote (candidates must physically reside in states specified although the role is remote ... claims process and build professional relationships within the organization. * Gradual Claim ...
Workers Compensation Claims Trainee - Northwest
Salem, OR · Remote
$60K/yr
Fully remote (candidates must physically reside in states specified although the role is remote ... claims process and build professional relationships within the organization. * Gradual Claim ...
Workers Compensation Claims Trainee - Northwest
Salem, OR · Remote
$60K/yr
Fully remote (candidates must physically reside in states specified although the role is remote ... claims process and build professional relationships within the organization. * Gradual Claim ...
Salvage Processor
OR · Remote
The Customer Service Expert - you'll live into Allstate's Claims Culture by caring, empowering, and ... Work Location This position is a remote home-based role with a preference of a schedule that will ...
Salvage Processor
OR · Remote
The Customer Service Expert - you'll live into Allstate's Claims Culture by caring, empowering, and ... Work Location This position is a remote home-based role with a preference of a schedule that will ...
REMOTE Loss Mitigation FHA Claims Specialist
Salem, OR · Remote
$23 - $26/hr
Come join our amazing team and work remote from home! The Loss Mitigation FHA Claims Specialist ... Correct error files when identified by cancelling claim and/or processing a refund request to HUD.
REMOTE Loss Mitigation FHA Claims Specialist
Salem, OR · Remote
$23 - $26/hr
Come join our amazing team and work remote from home! The Loss Mitigation FHA Claims Specialist ... Correct error files when identified by cancelling claim and/or processing a refund request to HUD.
Consultant, Claims - Indemnity Specialty
OR · On-site +1
... processes and operations to provide the best customer value, then Nationwide's Property and ... The location of this position is flexible and open to virtual and/or remote based applicants.
Consultant, Claims - Indemnity Specialty
OR · On-site +1
... processes and operations to provide the best customer value, then Nationwide's Property and ... The location of this position is flexible and open to virtual and/or remote based applicants.
Consultant, Claims - Indemnity Specialty
OR · On-site +1
... processes and operations to provide the best customer value, then Nationwide's Property and ... The location of this position is flexible and open to virtual and/or remote based applicants.
Consultant, Claims - Indemnity Specialty
OR · On-site +1
... processes and operations to provide the best customer value, then Nationwide's Property and ... The location of this position is flexible and open to virtual and/or remote based applicants.
Supervisor of Claims
Corvallis, OR · Remote
This is a remote position in which we are able to employ in the following states: Alabama, Alaska ... Responsible for the organization and supervision of the Claims Processing Department and mail room ...
Supervisor of Claims
Corvallis, OR · Remote
This is a remote position in which we are able to employ in the following states: Alabama, Alaska ... Responsible for the organization and supervision of the Claims Processing Department and mail room ...
Supervisor of Claims
Corvallis, OR · Remote
This is a remote position in which we are able to employ in the following states: Alabama, Alaska ... Responsible for the organization and supervision of the Claims Processing Department and mail room ...
Supervisor of Claims
Corvallis, OR · Remote
This is a remote position in which we are able to employ in the following states: Alabama, Alaska ... Responsible for the organization and supervision of the Claims Processing Department and mail room ...
Medicaid Claims Analyst (remote in Oregon)
Salem, OR · Remote
$27.88/hr
This remote position will be based out of the employee's home located in the state of Oregon or ... Review, validate, and process NEMT claims in accordance with Medicaid policies, GOBHI program ...
Medicaid Claims Analyst (remote in Oregon)
Salem, OR · Remote
$27.88/hr
This remote position will be based out of the employee's home located in the state of Oregon or ... Review, validate, and process NEMT claims in accordance with Medicaid policies, GOBHI program ...
Remote Claims Processor Evening information
What is the difference between Remote Claims Processor Evening vs Remote Claims Processor Night?
| Aspect | Remote Claims Processor Evening | Remote Claims Processor Night |
|---|---|---|
| Work Hours | Typically 4 PM to 12 AM | Typically 12 AM to 8 AM |
| Certifications | Same certifications required | Same certifications required |
| Work Environment | Remote, collaborative with daytime teams | Remote, quieter, less team interaction |
| Industry Usage | Common in insurance and healthcare sectors |
The main difference between Remote Claims Processor Evening and Night roles lies in their work hours. Evening shifts typically run from late afternoon to late evening, while Night shifts cover overnight hours. Both roles require similar certifications and work in remote environments within the insurance and healthcare industries. Your choice depends on your preferred working hours and lifestyle.
Contractor
Medical, Dental, Life, Retirement
Posted 12 days ago
Job description
Summary:
The main function of the Benefits Processor is to analyze disability claim information, make benefit decisions and payments on lower liability claims; administer low maintenance claims; provide administrative support for the department's management of disability claims including the set-up and distribution of new claims; provide responsive customer service to claimants,
policyowners, Benefits staff, and group offices.
Job Responsibilities:
Investigate, secure and analyze information pertaining to claimant's medical condition, insured status and other policy provisions to accurately determine eligibility for, and entitlement to disability benefits for low liability and short duration claims; identify, file/fact discrepancies and outstanding issues and secure additional documentation as needed while investigating within prescribed time frames.
Make and communicate disability decisions and issue correct benefits for low liability and short duration claims.
Establish system records, analyze member eligibility, set up new claim files, provide updates to claimants on incomplete claims and respond to inquiries from claimants, policyowners, group offices, and other interested parties.
Provide information and assistance to claimants, policyowners, and group offices by promptly answering telephones and
responding to specific questions about claims and policies.
Maintain reserves on assigned low liability and short duration claims.
Provide administrative support for the team's management of disability claims.
Gather information and take each file from pre-approval to closing.
Verify benefit claim documents.
Collect required documentation, review file documentation, and make sure all items needed are requested.
Ensure that all claim documentation is complete, accurate, and complies with company policy.
Establish, maintain, and update files, databases, records, and other documents for recurring internal reports.
Skills/Qualifications:
Attention to detail and accuracy; express ideas clearly in written and verbal form; prioritize tasks to meet multiple and changing deadlines; accurately keyboard 35 WPM; customer service.
Ability to review documents for completeness and follow up to secure missing information; analyze claim facts and apply
contract provisions accurately.
Ability to understand and apply Federal, State and local laws and regulations affecting claim investigation, disability decisions and taxation of benefits, such as Fair Claim Settlement Practices Act, ERISA, and Federal, State and local tax withholding and reporting requirements as they apply to low liability.
Ability to adjust schedule to accommodate peak work periods or department workload; use department's automated claim
system and other computer applications.
Working knowledge of Office equipment including a word processor or personal computer.
Education/Experience:
Education: High School diploma or equivalent.
Experience: related work experience, or the equivalent combination of education and/or relevant experience
2-4 Years' Experience
Benefits:
Paid sick leave, Medical/Dental (optional), 401 (k) Retirement Plan (optional), Employer Paid Life Insurance, Employer Paid Short Term Disability, Optional Life Insurance.
ELYON International, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran
About Elyon International
Sourced by ZipRecruiter
Industry
It services
Company size
51 - 200 Employees
Headquarters location
Vancouver, WA, US
Year founded
1997