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Remote Claims Processor From Home Jobs in Nevada

IQVIA

Work from Home

Las Vegas, NV · Remote

$18/hr

We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) ... Experience in medical claim processing is a plus * Bi-lingual (English/Spanish) is a plus The pay ...

The Jernigan Agency

WORK FROM HOME

Reno, NV · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales ... See the application through the underwriting process and get our clients covered. Requirements for ...

The Jernigan Agency

WORK FROM HOME

Las Vegas, NV · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales ... See the application through the underwriting process and get our clients covered. Requirements for ...

The Jernigan Agency

WORK FROM HOME

Las Vegas, NV · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales ... See the application through the underwriting process and get our clients covered. Requirements for ...

Ccfs

Risk Claims Manager

Las Vegas, NV · Remote

$85K - $95K/yr

This position has the potential to be remote. ESSENTIAL JOB DUTIES * Personally investigate and ... Knowledge of statistical process control desirable.

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Remote Claims Processor From Home information

What does a remote claims processor from home do?

A Remote Claims Processor from home is responsible for reviewing, evaluating, and processing insurance claims submitted by policyholders. They work from their home office, handling documentation, verifying information, and ensuring claims are accurate and comply with company policies. The role often involves data entry, communication with clients and insurance agents, and using specialized software. Working remotely, claims processors must be detail-oriented and able to manage their workload independently. This job is common in the health, auto, and property insurance industries.

What are the key skills and qualifications needed to thrive as a remote claims processor from home, and why are they important?

To thrive as a Remote Claims Processor From Home, you need strong attention to detail, analytical abilities, and knowledge of insurance policies, typically supported by a high school diploma or equivalent and relevant work experience. Familiarity with claims management software, document management systems, and secure communication tools is essential. Excellent time management, self-motivation, and clear written communication are standout soft skills for working independently. These competencies ensure accurate, efficient claim handling and maintain customer satisfaction in a remote environment.

What are some common challenges faced by remote claims processors from home, and how can they be managed effectively?

Remote claims processors often encounter challenges such as managing high volumes of claims, maintaining clear communication with team members, and ensuring data security while working from home. Staying organized with digital tools, setting a structured daily routine, and actively participating in virtual team meetings can help address these issues. Additionally, leveraging secure company-approved platforms for document sharing and adhering to privacy protocols are essential for protecting sensitive client information.

What is the difference between Remote Claims Processor From Home vs Remote Claims Processor From Office?

AspectRemote Claims Processor From HomeRemote Claims Processor From Office
Work EnvironmentHome-based, flexible scheduleOffice-based, fixed hours
CredentialsSimilar certifications, such as claims processing or insurance licensesSame credentials required
Employer & IndustryInsurance companies, healthcare providersSame industry, different setting
Search & ComparisonCommonly compared for remote work optionsLess frequently searched as a comparison

The main difference between Remote Claims Processor From Home and Remote Claims Processor From Office is the work environment. The remote role offers flexibility and a home-based setting, while the office-based position requires working on-site. Credentials and industry usage are similar, making the choice primarily about work location preferences.

Remote Claims Processor From Home jobs near you

Workers' Compensation Claims Technician

Las Vegas, NV • On-site, Remote

Liberty Mutual
Insurance Services • 10K+ employees

8.8

Company rating: 8.8 out of 10

Based on 161 frontline employees who took The Breakroom Quiz

46th of 311 rated insurance

People enjoy working here

Good employer

Recommended by students

Learn more about Liberty Mutualexternal

$38K - $70K/yr

Full-time

Posted 21 days ago

Job description


Description

Are you looking for an opportunity to join a claims team with a fast growing company that has consistently outpaced the industry in year over year growth? Liberty Mutual Insurance has an excellent claims opportunity available for a Workers Compensation Claims Technician. Claims Technicians obtain essential information in order to process routine workers' compensation claims with on-going medical management for medical pension claims. Provides injured workers and customers with accurate, timely information and quality service. Claims Technicians also identify potential problems and make claim referral decisions. 

GRS North America Claims is excited to announce our go forward strategy to provide employees with the flexibility to include an option to work from home full-time. Candidates who are selected for this position will be trained remotely.

You will be required to go into the office twice a month if you reside within 50 miles of one a specified office. Please note this policy is subject to change.

Responsibilities:

  • Conduct investigation to secure essential facts from injured worker, employer and providers regarding workers' compensations through telephone or written reports. Verifies information from claimants, physicians, and medical providers to assess compensability and/or causal relation of medical treatment, and make evaluations for cases with claim specific on-going medical management.
  • Provides on-going medical case management for assigned claims. Initiates calls to injured worker and medical provider if projected disability exceeds maximum triage model projection or to resolve medical treatment issues as needed. Maintains contact with injured worker, provider and employer to ensure understanding of protocols and claims processing and medical treatment.
  • Continually assesses claim status to determine if problem cases or those exceeding protocols should be referred to Claims Service Team and/or would benefit from, MP RN review or other medical /claims resources. Arranges Independent Medical Exam and Peer Review as necessary.
  • Maintains accurate records and handles administrative responsibilities associated with processing and payment of claims. Records and updates status notes; documents results of contacts, relevant medical reports, and duration information per file posting standards including making appropriate medical information viewable to customers in Electronic Document Management (EDM). Generates form letters following set guidelines (i.e., letters to physicians projecting disability, letters confirming medical treatment and disability and letters outlining expected outcome to employers).
  • Authorizes payment of medical payments and/or medical treatment.
  • Recognizes potential subrogation cases, prepares cases for subrogation and refers these cases to the Subrogation Units.
Qualifications
  • High school diploma plus 1-3 years' of related customer service experience or applicable insurance knowledge.
  • Licensing required in some states.
  • Effective analytical skills required to learn and apply basic policy/contract coverage and recognize questionable coverage/contract situations (which necessitate supervisory involvement) along with effective interpersonal skills to explain the facts and logic used to arrive at decisions in a way that the customer understands.
  • Effective written skills to compose clear, succinct descriptions when posting files and drafting correspondence.
  • Good telephone and typing skills required.
  • Ability to learn when to make proper use of medical management resources, know when to use them and follow through with medical management information received.
About Us

Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: https://www.libertymutualgroup.com/about-lm/careers/benefits
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices

  • California
  • Los Angeles Incorporated
  • Los Angeles Unincorporated
  • Philadelphia
  • San Francisco
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About Liberty Mutual

Sourced by ZipRecruiter

Since 1912, we've grown into the fifth largest global property and casualty insurer based on 2022 gross written premium. We also rank 86 on the Fortune 100 list of largest corporations in the US based on 2022 revenue. ​At Liberty Mutual Insurance we work hard every day to support our customers and our people, so they can protect their families, build their businesses and invest in their futures. We are headquartered in Boston, but our people, our customers and our reach span the globe. So to better serve our global customers and employees, we are organized into three business units.

Industry

Insurance services

Company size

10,000+ Employees

Headquarters location

Boston, MA, US

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Benefits

Hours and flexibility

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