Experienced Claims Representative – Remote Customer Service Role in Insurance and Healthcare

At arenaflex, we're dedicated to providing exceptional customer service and support to our clients in the insurance and healthcare industries. As a Claims Representative, you'll play a vital role in processing and managing medical claims, ensuring accuracy and efficiency in claims resolution. If you're passionate about delivering top-notch service, possess excellent communication skills, and have a keen eye for detail, we want to hear from you.

About arenaflex

arenaflex is a leading provider of innovative solutions in the insurance and healthcare sectors. Our team is committed to excellence, and we're always looking for talented individuals who share our passion for delivering exceptional results. With a focus on remote work, we offer a flexible and dynamic work environment that allows our employees to thrive and grow.

Job Overview

As a Claims Representative, you'll be responsible for processing and managing medical claims, ensuring accuracy and efficiency in claims resolution. You'll work closely with our medical billing teams to collaborate on claim processing, verify insurance coverage and eligibility for claimants, and apply ICD-9 coding to claims. Your attention to detail and strong communication skills will be essential in ensuring that claims are processed accurately and efficiently.

Key Responsibilities

* Inbound and outbound call support to process and manage medical claims

• Review and process health insurance claims for accuracy and completeness
• Utilize financial software to assess and calculate claim amounts
• Understand and apply ICD-9 coding to claims
• Maintain medical records and documentation related to claims
• Familiarity with Workers' Compensation laws and regulations
• Verify insurance coverage and eligibility for claimants
• Knowledge of medical terminology to accurately assess claims
• Collaborate with medical billing teams for claim processing
• Ensure proper insurance verification procedures are followed

Requirements

* Previous experience in clerical roles within the insurance or healthcare industry is preferred

• Proficiency in financial software for claims processing
• Proficient in Microsoft Excel
• Good call center experience
• Knowledge of Workers' Compensation laws is a plus
• Strong attention to detail and accuracy in claim assessment
• Excellent communication skills for interacting with claimants and internal teams

Preferred Qualifications

* Previous experience in claims processing or medical billing

• Knowledge of medical terminology and ICD-9 coding
• Familiarity with Workers' Compensation laws and regulations
• Experience working with financial software for claims processing
• Strong analytical and problem-solving skills

Essential Skills and Competencies

* Excellent communication and interpersonal skills

• Strong attention to detail and accuracy in claim assessment
• Ability to work independently and as part of a team
• Proficient in Microsoft Excel and financial software
• Strong analytical and problem-solving skills
• Ability to work in a fast-paced environment and meet deadlines

Career Growth Opportunities and Learning Benefits

At arenaflex, we're committed to helping our employees grow and develop their careers. We offer a range of training and development programs, including:

• On-the-job training and mentorship
• Ongoing training and development opportunities
• Career advancement opportunities within the company
• Access to industry-leading software and technology

Work Environment and Company Culture

Our remote work environment offers the flexibility and autonomy to work from anywhere. We're a dynamic and supportive team that values collaboration, innovation, and excellence. Our company culture is built on a foundation of trust, respect, and open communication.

Compensation, Perks, and Benefits

* Competitive hourly rate of $13.50 per hour

• Full-time schedule with 40 hours per week
• 8-hour shift, Monday to Friday
• Work from home flexibility
• Ongoing training and development opportunities
• Access to industry-leading software and technology
• Comprehensive benefits package, including health insurance, paid time off, and more

How to Apply

If you're passionate about delivering exceptional customer service and possess the skills and qualifications we're looking for, we want to hear from you. Please submit your application, including your resume and a cover letter, to [insert contact information]. We can't wait to hear from you!

Equal Employment Opportunity

arenaflex is an equal employment opportunity employer and welcomes applications from diverse candidates. We're committed to creating a workplace that's inclusive, respectful, and supportive of all employees. Apply for this job