Remote Claims Processor Specialist

Odixcity Consulting; La Réunion; Remote; EUR 32,000 - 52,000; Full time

Job summary

Odixcity Consulting is seeking a detail-oriented Claim Processor Specialist to review, verify, and process insurance claims, ensuring coverage eligibility and regulatory compliance. You will serve as the primary liaison between policyholders, agents, and providers, gathering information, calculating payments, and maintaining documentation to ensure prompt resolution.

This remote role requires strong analytical and communication skills, experience with claims processing, and knowledge of U.S.

Qualifications

• Bachelor’s degree in Business, Finance, Insurance, or related field.
• 3–5 years of claims processing and insurance experience.
• Knowledge of U.S. or U.K. client operations.
• Strong analytical, problem-solving, and decision-making skills.
• Proficiency with claims management software and MS Office.

Responsibilities

• Review and process insurance claims accurately and promptly.
• Verify documentation for eligibility and policy terms.
• Communicate with claimants and agents to obtain information.
• Evaluate claim validity and recommend approvals or denials.
• Maintain electronic records of processing activities and decisions.
• Identify potential fraud or inconsistencies for review.
• Collaborate with internal teams remotely to resolve complex claims.

Skills

Analytical skills

Problem-solving

Decision-making

Remote communication

Education

Bachelor’s degree in Business, Finance, Insurance, or related field

Tools

Claims management software

Microsoft Office Suite

Job description

Odixcity Consulting is seeking a detail-oriented Claim Processor Specialist to review, verify, and process insurance claims, ensuring coverage eligibility and regulatory compliance. You will serve as the primary liaison between policyholders, agents, and providers, gathering information, calculating payments, and maintaining documentation to ensure prompt resolution.

This remote role requires strong analytical and communication skills, experience with claims processing, and knowledge of U.S.