20 Best claims representative jobs (Hiring Now!)

Client Service Representative (CSR)
Ged Lawyers —Yarmouth, MA
Some knowledge of the medical field and terminology (worked in a doctor’s office – Medical Assistant that has worked in the front and back office).
Estimated: $41.9K - $53K a year
Quick Apply
Casualty Claims Examiner
Church Pension Group Services Corporation —Bennington, VT
For more than 90 years, The Church Insurance Companies have focused on providing The Episcopal Church broad, cost-effective property and casualty coverage and…
$79,000 - $97,000 a year
Customer Service Representative - Orlando - $16.50/hr
Alegeus Technologies LLC —Maitland, FL
Answer telephone calls, obtain caller information, authenticate account holders and verify information. Adhere to regulatory oversight policies and procedures…
$16 an hour
Field Claims Representative (Golden, CO)
Auto-Owners Insurance —Golden, CO
Possess a valid driver’s license. Additional benefits include: generous paid time off including holidays, vacation days, personal time, sick leave and parental…
$62,000 - $86,200 a year
Quick Apply
Experienced Field Claims Representative - Springfield-Branson, MO
Auto-Owners Insurance —Springfield, MO
Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company’s underwriting guidelines for coverage…
Estimated: $51.2K - $64.8K a year
Quick Apply
Claims Representative
Nodak Insurance Company —Mandan, ND
Candidates must live in the Bismarck/Mandan, ND area. Investigate, negotiate, and settle multi-line claims. Render prompt claim service and establish the best…
$54,400 - $68,000 a year
Quick Apply
2d
Adjuster
Direct Auto Insurance Company —Chicago, IL
May provide technical guidance, assistance, and training to claim representatives. Must reside within 90-minute driving distance of Rosemont, IL.
$45,000 - $75,000 a year
Quick Apply
Field Claims Representative - Savannah, GA
Auto-Owners Insurance Company —Savannah, GA
Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company’s underwriting guidelines for coverage…
Estimated: $48.4K - $61.3K a year
Quick Apply
Healthcare Benefits Claims Examiner Representative
Cobalt Benefits Group LLC —South Burlington, VT
Review plan documents for various groups to apply appropriate benefits to claims being adjudicated. As a Healthcare Benefits Claims Examiner Representative, you…
$21 an hour
Quick Apply
9d
Customer Service Representative-Remote
Concentrix —United States
The Customer Service Representative-Remote (Healthcare Claims) works from home and interfaces with customers via inbound/outbound calls and/or via the Internet.
Estimated: $27.7K - $35.1K a year
21h
Associate Accounts Receivable Representative
SCA Health —Remote
Meeting and maintaining cash collection metrics and goals. Primary functions are credit balance management, patient balance resolution and non-patient …
From $20 an hour
20h
Medical Customer Service Representative
Meduit —Des Moines, IA
Taking inbound and making outbound calls to patients regarding outstanding balances. Understanding and fully complying with all federal and state laws and…
$15 - $17 an hour
Quick Apply
2d
Claims Specialist
Social Security Administration —Rocky Mount, NC
Your career as a claims representative will allow you to develop skills that can prepare you for promotions into positions as a technical expert on Social…
From $51,157 a year
Quick Apply
Customer Service Representative - Remote in CA
UnitedHealth Group —Cypress, CA
You’ll spend your day by responding to calls from our members and help answer questions and resolve issues regarding health care eligibility, claims and…
$16.00 - $28.27 an hour
4h
Accounts Receivable Rep- 3rd Party Commercial
TridentCare —Remote
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed…
$16 - $19 an hour
Quick Apply
13d
Resident Field Claims Representative (Idaho Falls/Twin Falls)
Auto-Owners Insurance —Twin Falls, ID
Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company’s underwriting guidelines for coverage…
Estimated: $49.2K - $62.2K a year
Quick Apply
Contact Representative (Customer Service Representative)
Social Security Administration —Kansas City, MO
Examples of specialized experience include: (1) Working with legal or medical records, documents or benefit/financial accounts which involve applying laws,…
$40,196 - $64,732 a year
Quick Apply
Claims Representative - Property Damage Complex Unit
Plymouth Rock Assurance —Uniondale, NY
Prepare dispatch instructions for field personnel to inspect vehicles. Investigate and interpret policy provisions, endorsements and conditions to determine…
$50,000 - $67,000 a year
Patient Billing Representative - Remote
CareCentrix —Remote
Researches, resolves, and documents patient inbound and outbound calls involving a wide range of issues utilizing multiple information systems.
$17.50 an hour
5d
Health Customer Service Representative
Allegiance Benefit Plan Management —Missoula, MT
Answer telephone calls from plan participants, group contacts, and providers pertaining to benefits and claims inquiries. Typing ability of 45 wpm net.
$18.50 an hour
Quick Apply

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Client Service Representative (CSR)

Ged Lawyers Yarmouth, MA

Quick Apply

Job Details

Full-time Estimated: $41.9K - $53K a year

Benefits

Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Microsoft Powerpoint
Microsoft Word
CRM software
Microsoft Excel
Customer service
Microsoft Office
Personal injury law
High school diploma or GED
Medical billing
Negotiation

Full Job Description

POSITION SUMMARY:

The Client Service Representative assumes a pivotal role in the organization by managing patient/client files, ensuring meticulous documentation arrangement, and navigating various systems efficiently. This role demands a keen eye for quality review and the ability to decipher diverse documents such as EOBs, AOBs, patient ledgers, PIP logs, and legal documentation. An in-depth understanding of Auto Carriers, Health Insurance, and Third-Party Administrators (TPAs) is essential, along with the ability to differentiate between policy numbers and claim numbers while strictly adhering to privacy and security protocols for protected health information. An ideal candidate for the position will have prior experience in medical billing, which enriches their skill set for effectively handling the responsibilities outlined in the job description.

PRIMARY DUTIES & RESPONSIBILITIES:

Adeptly scan, upload, and arrange various documents with speed and accuracy.
Efficiently maneuver through diverse medical billing systems necessary for accessing patient files.
Conduct thorough quality reviews to ensure the accuracy and completeness of all documents.
Identify various documents, including EOBs (explanation of benefits), AOBs (assignment of benefits), patient ledgers, PIP logs, and some legal paperwork.
Demonstrate the ability to identify Auto Carriers, Health Insurance, and Third-Party Administrators (TPAs), and understand their roles and processes.
Understand the significance of policy and claim numbers throughout the audit process.
Proactively identify and resolve issues following established protocols.
Maintain the confidentiality and security of protected health information in compliance with HIPAA regulations.
Provide exceptional customer service to clients, addressing inquiries and concerns promptly and professionally.
Collaborate effectively with internal teams to ensure smooth communication and resolution of issues.
Document and escalate complex cases or discrepancies according to established protocols.
Participate in ongoing training and professional development opportunities to stay updated on industry trends and best practices.
Assist in the development and implementation of process improvements to enhance efficiency and quality of service delivery.
Maintain employee activity production tracking to monitor and assess individual performance levels.
Continuously maintain and update client information as required to ensure accuracy and relevance.
Support other administrative tasks and projects as assigned by management to meet organizational needs and priorities.

KNOWLEDGE, SKILLS, AND ABILITIES:

Medical Billing experience with high-level Customer Service Experience
Scanning Documents
Some knowledge of the medical field and terminology (worked in a doctor’s office – Medical Assistant that has worked in the front and back office)
Familiar with CMS 1500 – HICA Healthcare Insurance Claim Form
Perform additional duties as assigned.

QUALIFICATIONS:

High School diploma, required. 2 years of college, preferred.
Excellent communication, customer service, interpersonal, organizational, decision-making, relationship building and negotiation skills.
Ability to handle confidential information and abide by HIPAA laws and other medical policies.
Proficiency in CRM software and Microsoft Office Suite (MS Office - Word, Excel, PowerPoint and Outlook).
Requires 80% travel to various clients in different counties, regions of Massachusetts

PHYSICAL DEMANDS

Prolonged periods of standing or sitting at a desk while working on a computer interacting with clients. Lifting or carrying documents or equipment, such as scanners or a laptop, occasionally. Must be able to lift up to 15 pounds at times. Using hands or fingers to operate office equipment, type, or handle paperwork. Communicating verbally with clients and colleagues in person or over the phone for extended periods. Occasionally bending, stooping, or reaching to access files or office supplies. Maintaining focus and concentration for extended periods while performing detailed tasks. These physical demands may vary depending on the specific requirements of the job.

Job Type: Full-time

Schedule: Monday to Friday

Location: New Bedford, MA – Worcester, MA – Framingham, MA

Top Reasons to Work for Us!

Ged Lawyers provides a wide range of benefits including: medical, vision and dental insurance, life insurance, short and long-term disability, 401K matching plan, holidays and paid time off.

Staffing Agencies: Unsolicited resumes from search firms will not be honored as valid. Consequently, we politely ask agencies not to solicit our business managers directly as well. Thank you in advance.

EOE/M/F/D/V

Job Type: Full-time

Benefits:

401(k)
401(k) matching
Dental insurance
Health insurance
Paid time off
Vision insurance

Schedule:

Monday to Friday

Work Location: On the road

Quick Apply

claims representative jobs

Client Service Representative (CSR)

Casualty Claims Examiner

Customer Service Representative - Orlando - $16.50/hr

Field Claims Representative (Golden, CO)

Experienced Field Claims Representative - Springfield-Branson, MO

Claims Representative

Adjuster

Field Claims Representative - Savannah, GA

Healthcare Benefits Claims Examiner Representative

Customer Service Representative-Remote

Associate Accounts Receivable Representative

Medical Customer Service Representative

Claims Specialist

Customer Service Representative - Remote in CA

Accounts Receivable Rep- 3rd Party Commercial

Resident Field Claims Representative (Idaho Falls/Twin Falls)

Contact Representative (Customer Service Representative)

Claims Representative - Property Damage Complex Unit

Patient Billing Representative - Remote

Health Customer Service Representative

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