Job Description:
• Respond to customer, claimant, and internal inquiries via phone, email, and voicemail
• Set up and enter new claims, ensuring information is complete and accurate
• Review claim submissions and documentation for discrepancies or missing information
• Use claim management and workflow systems to track activities and manage workload
• Verify coverage information and assist with basic claim administration
• Process routine claim-related transactions according to established procedures
• Investigate and gather information to resolve straightforward questions and service requests
• Document claim activity and maintain detailed records
• Create and distribute general correspondence and claim-related communications
• Collaborate with claims professionals and operational partners
• Escalate non-routine or complex issues to management or senior team members
• Maintain productivity and service standards in a remote environment
• Support special projects and perform additional duties as assigned
Requirements:
• High school diploma or equivalent required
• Experience in claims operations, claims processing, billing support, customer service, policy services, or a related insurance support role required
• Workers’ compensation claims experience preferred
• Basic understanding of insurance concepts, terminology, and business processes
• Strong verbal and written communication skills
• Ability to work accurately, manage multiple priorities, and learn new systems and processes
• Must reside within the Pacific Time Zone
• Must be available to work 37.5 hours per week from 8:00 a.m. to 4:30 p.m. Pacific Time, Monday through Friday
• Must be authorized to work in the United States without current or future employment visa sponsorship
• Must be self-motivated in a remote work environment
Benefits:
• Medical, dental, and vision coverage for full-time employees
• Wellness plans
• Parental leave
• Adoption assistance
• Tuition reimbursement
• Paid Time Off for full-time and eligible part-time employees
• Paid holidays for full-time and eligible part-time employees
• 401(k) plan with company match
• Employee stock purchase plan
• Commuter benefits
• Remote, work-from-home position