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Remote Claims Processor From Home Jobs in Virginia

ibex

Customer Service - Work at Home

Hampton, VA · Remote

$14 - $19/hr

Educating customers and dental professionals on eligibility, benefits, claims payment, and ... Suggesting ways to improve the service delivery processes contributing to the success of the ...

The Semler Agency

Work From Home Sales

Richmond, VA · Remote

We are currently hiring for a remote sales position with a structured training program . This role ... Follow a simple, structured process What You'll Get: * Guided training program * Support from ...

Erie Insurance

Property Adjuster II

Newport News, VA · Remote

$60K - $96K/yr

... claims supervisor when required. * This is a remote, work from home position in Virginia * The ... Optimizes Work Processes (IC) * Ensures Accountability * Decision Quality Qualifications Minimum ...

The Jernigan Agency

WORK FROM HOME

Richmond, VA

$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 Semler Agency

Work From Home Sales

Roanoke, VA · Remote

$5.0K - $15K/mo

We are currently hiring motivated individuals for a remote sales position helping families secure life insurance protection. This is a work-from-home opportunity with: * Flexible scheduling * Full ...

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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.

What are the most commonly searched types of Remote Claims Processor jobs in Virginia?

The most popular types of Remote Claims Processor jobs in Virginia are:

What cities in Virginia are hiring for Remote Claims Processor From Home jobs?

Cities in Virginia with the most Remote Claims Processor From Home job openings:

Remote Claims Processor From Home jobs near you

Customer Service - Work at Home

ibex

Hampton, VA • Remote

$14 - $19/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

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

Job description

Overview

Start your career journey with energy, teamwork, and endless opportunities! Whether you're just starting out or ready for something new, we've got your back with paid training that sets you up for success. Our vibrant team thrives on support, good vibes, and leaders who actually listen. You'll make real connections, build new skills, and grow your career in a place that celebrates you.

About the role:

Customer Service Representatives will be working directly with the customer to answer general inquiries, address concerns, and assist with requests about products and services across multiple lines of business. The CSR must project a professional company image and provide superior customer service while working with customers through any of the customer contact channels.

Responsibilities

Your day to day will involve:

  • Resolving coordination of benefits inquires by analyzing patient activity (including enrollment, third party liability, claims attachments).
  • Having a comprehensive understanding of insurance coverage and being able to interpret and communicate accurate information.
  • Thoroughly and completely documenting all customer interactions.
  • Educating customers and dental professionals on eligibility, benefits, claims payment, and authorizations.
  • Educating on the usage and benefits of self-service tools.
  • Assisting members on gaining access to care by locating a network dentist or assignment to a primary care dentist.
  • Directing inquires to necessary departments or individuals when the resolution of the inquiry is beyond the span of control for this role.
  • Responding to customer inquiries in a courteous and professional manner.
  • Researching and consistently providing accurate information to resolve all member and provider inquiries through verbal and written communications through all channels including phone, email, web portal, and chat interactions.
  • Responding to and resolving internal and external complex customer inquiries.
  • Resolving claim payment inquiries by researching and analyzing patient activity and determining appropriate action to be taken.
  • Taking ownership of the resolution and setting expectation for follow up.
  • Ensuring resubmissions, stop payments, and voids are appropriately handled.
  • Meeting or exceeding individual, department, and client specific goals.
  • Understanding and adhering to all client administrative and contractual policies and procedures.
  • Suggesting ways to improve the service delivery processes contributing to the success of the organization.
  • Other duties as assigned.
Qualifications

Must Haves for Work at Home:

  • Private, distraction free workspace (not a shared/common area of the home)
  • Hard wired ethernet internet connection with minimum speeds of 50 Mbps Download / 10 Mbps Upload. (5G, hotspots, and satellite internet not supported)
  • Active wireless phone service
  • Must remain on camera during working hours

Eligible States

This role is currently limited to candidates residing in

Arkansas, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Kentucky, Louisiana, Michigan, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Vermont, Virginia, West Virginia, Wisconsin, and Wyoming.

Preferred:

  • Experience in healthcare or related industry experience
  • Medical/Dental terminology knowledge experience
  • Medicare/Medicaid knowledge
  • Claims/Billing and coding experience

Benefits:

  • Medical, Dental, and Vision insurance
  • 401(k) Retirement Savings Plan
  • Paid Time Off
  • Paid T-Mobile cell service
  • Employee referral program
  • Employee PerkSpot (discounts on retail, hotel, food, restaurants, car rental and much more!!)
Employment Type: FULL_TIME

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