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Remote Insurance Rater Jobs in Houston, TX (NOW HIRING)

PFS Group

Remote Insurance Rep

Houston, TX · Remote

$53K - $67K/yr

Initiates contact with insurance payers to collect contracted rates on outstanding claims * Reviews, monitors and effectively reduces aged inventory * Successfully identifies root causes for denials ...

Roethlisberger Life Group

Be Seen First

Remote Life Insurance Agent

Magnolia, TX · Remote

$55K - $110K/yr

100% Remote | Flexible Schedule | Training & Licensing Support Provided A professional opportunity ... Through partnerships with top-rated life insurance and retirement carriers, our agents help ...

Roethlisberger Life Group

Be Seen First

Remote Life Insurance Agent

League City, TX · Remote

$55K - $110K/yr

100% Remote | Flexible Schedule | Training & Licensing Support Provided A professional opportunity ... Through partnerships with top-rated life insurance and retirement carriers, our agents help ...

GIA Legacy Planning

Life Insurance Producer

Houston, TX · On-site +1

Flexible work schedule (remote position) * Virtual training and mentorship programs * Access to top-rated insurance carriers and products * Opportunities for career growth and leadership development

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Remote Insurance Rater information

What are some common challenges faced by Remote Insurance Raters and how can they be addressed?

Remote Insurance Raters often encounter challenges such as interpreting complex policy language, maintaining accuracy while reviewing high volumes of applications, and staying updated on varying state regulations. To address these, it's important to develop strong attention to detail, utilize digital tools for efficient document management, and participate in regular training sessions. Clear communication with underwriters and other team members is also key to resolving ambiguous cases and ensuring consistency across ratings.

What are the key skills and qualifications needed to thrive as a Remote Insurance Rater, and why are they important?

To thrive as a Remote Insurance Rater, you need strong analytical abilities, attention to detail, and typically a background in insurance or a relevant certification such as the Associate in Personal Insurance (API). Familiarity with rating software, policy management systems, and spreadsheet tools like Excel is usually required. Excellent written communication, time management, and problem-solving skills help remote raters collaborate effectively and process applications efficiently. These skills and qualifications ensure accurate policy rating, minimize errors, and support seamless remote workflow in the insurance industry.

What does a Remote Insurance Rater do?

A Remote Insurance Rater is responsible for evaluating insurance applications and calculating premiums based on risk assessment guidelines, but they perform their work from a remote location rather than an office. They review data such as client history, coverage requests, and relevant financial or personal information to determine the appropriate insurance rate. Their work ensures that premiums are fair and aligned with company policies and regulatory requirements. Remote Insurance Raters typically use specialized software and communicate with agents or clients via phone or email.
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What cities near Houston, TX are hiring for Remote Insurance Rater jobs? Cities near Houston, TX with the most Remote Insurance Rater job openings:
Remote Insurance Rater jobs near you
Remote Insurance Rep

Remote Insurance Rep

PFS Group

Houston, TX • Remote

$53K - $67K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted yesterday

Job description

Job Purpose:

The Insurance Representative at PFS Group, under the supervision of the Insurance Supervisor, manages insurance claims to ensure timely and accurate reimbursement. The role involves researching unpaid balances, correcting billing issues, submitting appeals, and communicating with insurers, patients, and internal teams to resolve discrepancies. Strong knowledge of insurance guidelines, billing systems, and effective accounts receivable management is essential, with responsibility for managing assigned inventories based on client needs.
Key Responsibilities:

  • Initiates contact with insurance payers to collect contracted rates on outstanding claims
  • Reviews, monitors and effectively reduces aged inventory
  • Successfully identifies root causes for denials or non-payment, prioritizing collection metrics in all work efforts
  • Ensures timely filing deadlines are achieved according to payer guidelines
  • Monitors accounts for updates on claims processing, taking care to resolve balances with single interventions whenever possible
  • Request appropriate claim corrections and rebill as needed
  • Informs supervisor of trends noticed when working insurance inventory
  • Interpret payment variances and payer guidelines to monitor for underpayment opportunities
  • Contacts guarantors as needed to resolve coverage discrepancies
  • Corrects adjustments as needed to ensure balances are accurately documented

Education and Experience:

  • High school diploma or equivalent is required
  • At least one year experience in revenue cycle, with emphasis on Insurance Follow-Up, Denials, Billing, or Cash Posting
  • Experience with EPIC HB or PB Resolute


Required Skills and Abilities:

  • Strong understanding of insurance policies, coverage, claims processes, and reimbursement, with the ability to research payer billing policies and medical bulletins to accurately troubleshoot denials and unpaid balances
  • Excellent communication skills, both verbal and written, with the ability to explain complex information clearly
  • Proficient in using insurance-related software and Microsoft Office Suite, including Word, Excel, and Outlook
  • Strong analytical and problem-solving skills, with attention to detail
  • Ability to work independently and manage time effectively in a fast-paced environment

PFS Group

Nationwide Patient Account Management Firm.

Based in Houston, Texas, we currently work with 32+ clients who operate more than 100 hospital facilities from small, rural community medical centers to metro population center health systems. Leaders in their respective markets and nationwide, our clients rely on our services to support their accounts receivable departments.

PFS Group offers a friendly, caring work environment, with competitive benefits and compensation, (medical, dental, vision, short and long-term disability, life insurance, hospital indemnity, critical illness, accident insurance and a matching 401(k) and Zayzoon!

If you are looking for a position in a dynamic, fast-paced organization with career growth opportunities, come grow with us! www.pfsgroup.org

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