Remote Nurse Reviewer - Medical Claims & Compliance

Epiq Company; Canada; Hybrid; CAD 70,000 - 90,000; Full time

Job summary

Epiq in Canada seeks a Nurse Reviewer to evaluate medical claims for compliance with policies and legal practices, working remotely from home. You will apply your nursing background to ensure accuracy and confidentiality while supporting clients and internal teams.

This full-time role requires 3-5 years' experience in medical claims review or related field, and a Bachelor's degree in nursing. Strong communication and meticulous attention to detail are essential, with RN license preferred.

Qualifications

• Bachelor's degree in nursing required.
• 3-5 years of experience in medical claims review or related role.
• Strong communication, confidentiality, and analytical skills.
• Knowledge of standard operating procedures and legal practices preferred.

Responsibilities

• Review medical claims and ensure compliance with company policies and legal practices.
• Conduct management reporting and maintain source documents.
• Communicate effectively with clients and team members.
• Maintain professional etiquette and organizational abilities.

Skills

Communication

Confidentiality

Legal Practices

SOP Adherence

Written Communication

Education

Bachelor's degree in Nursing

Job description

Epiq in Canada seeks a Nurse Reviewer to evaluate medical claims for compliance with policies and legal practices, working remotely from home. You will apply your nursing background to ensure accuracy and confidentiality while supporting clients and internal teams.

This full-time role requires 3-5 years' experience in medical claims review or related field, and a Bachelor's degree in nursing. Strong communication and meticulous attention to detail are essential, with RN license preferred.