Claims Processor

Job not on LinkedIn

🔥 1 minute ago

🇺🇸 United States – Remote

💵 $0 - $24 / hour

⏱ Part Time

🟢 Junior

🟡 Mid-level

📋 Claims Specialist

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Medlogix

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

💰 Private Equity Round on 2017-06

Healthcare • Consulting • Logistics

Medlogix is a company that specializes in providing comprehensive medical services, including workers' compensation, auto medical services, and group health services. They offer online referral systems and eBilling solutions to streamline the management of medical claims. With a focus on technology, Medlogix employs innovative platforms like MyMedlogix™ and MedlogixU™ to enhance their services and ensure exceptional client experiences.

📋 Description

• Review and process insurance claims by verifying policy coverage, gathering necessary information, evaluating claim validity, and determining appropriate payout amounts • Ensure documentation is complete and accurate while adhering to company guidelines and regulations • Interact with policyholders, agents, and other stakeholders to facilitate the claims process • Ensure compliance with HIPPA regulations and confidentiality requirements • Work in multiple claim systems and support multiple departments, including litigation and legal departments • Conduct account searches and obtain police reports • Make initial contact and document files upon receipt of first notice of loss • Send appropriate claim forms to claimants, insureds, and/or representatives • Review files for proper reserves and document files • Request missing documentation needed to manage files • Support litigation/legal departments with disputes, appeals, and pre-suits • Support post-service appeals, assignments, dispute awards, settlements, and/or withdrawals • Make appropriate payments for awards, settlements, and interest where applicable • Re-route documentation when a claim is not in the system • Conduct cycle-time file reviews for missing or pending documents, open billing, and file closure • Manage day-to-day operations to ensure SOPs are followed as defined in clients’ SLAs

🎯 Requirements

• Excellent organizational skills and attention to detail • Conducts interactions with sensitivity, maturity and professionalism • Knowledge of claims systems and procedures • Excellent written and verbal communication skills • Ability to maintain confidential information • Comfortable in a high-volume, fast, team-oriented environment • Proficient in Microsoft Office Suite • Bachelor’s degree or relevant experience required • Prior carrier or adjuster experience • Knowledge of New Jersey No Fault PIP regulation • 2-3 years preferred of New Jersey No Fault PIP regulation experience • Minimum 2 years medical billing or claims processing background • Ability to work 20 hours a week • Ability to work 100% remotely