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Remote Claims Processor Evening Jobs in Oregon (NOW HIRING)

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 ... LI-Remote Location Type Hybrid, RemoteQualifications: * Contact with clients, carrier and TPA ...

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 ...

Fully Remote Group Benefit Solutions delivers comprehensive insurance and absence management ... Proactive claims processing may also occur based on customer agreements. Determine eligibility of ...

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 ...

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Remote Claims Processor Evening information

What is the difference between Remote Claims Processor Evening vs Remote Claims Processor Night?

AspectRemote Claims Processor EveningRemote Claims Processor Night
Work HoursTypically 4 PM to 12 AMTypically 12 AM to 8 AM
CertificationsSame certifications requiredSame certifications required
Work EnvironmentRemote, collaborative with daytime teamsRemote, quieter, less team interaction
Industry UsageCommon 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.

What are popular job titles related to Remote Claims Processor Evening jobs in Oregon? For Remote Claims Processor Evening jobs in Oregon, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processor Evening jobs in Oregon look for? The top searched job categories for Remote Claims Processor Evening jobs in Oregon are:
What cities in Oregon are hiring for Remote Claims Processor Evening jobs? Cities in Oregon with the most Remote Claims Processor Evening job openings:
Claims and Benefits Processor II-Remote

Claims and Benefits Processor II-Remote

Elyon International

Portland, OR • Remote

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