Claims Processor - US REMOTE

DXC Technology; Illinois; Remote; USD 35,000 - 65,000; Full time

Job summary

A leading company is seeking a Claims Processor to manage client requests and investigate claims. The role requires strong communication and negotiation skills, along with a high school diploma and relevant experience. This position offers remote work within the U.S. and a competitive salary.

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Wellness Programs

Life Insurance

Disability Insurance

Retirement Plans

Paid Holidays

Paid Time Off

Qualifications

• 3+ years of insurance/claims processing experience.
• Experience with insurance and/or medical terminology.

Responsibilities

• Conduct correspondence related to client requests for information.
• Investigate moderate to highly complex claims and advise claimants.

Skills

Communication

Negotiation

Analytical

Problem Solving

Interpersonal

Education

High school diploma or G.E.D.

Tools

Microsoft Office Suite

PowerBi

Job description

Job Description

Essential Job Functions:

1. Conduct correspondence related to client requests for information.
2. Evaluate available information to validate claims.
3. Verify contract information, effective dates, status, and claim eligibility.
4. Identify the need for additional information.
5. Contact appropriate sources to obtain needed information.
6. Verify beneficiary or claimant information if claim is warranted.
7. Identify payment amounts and obtain required management approvals for payment.
8. Process payments.
9. Investigate moderate to highly complex claims, determine resolution level, advise claimants of status, and assist in negotiating settlement and resolution of claims.
10. Receive demand letters, research and investigate claims, respond within established parameters, and escalate as appropriate.

Mandatory Qualifications:

1. High school diploma or G.E.D.
2. 3+ years of insurance/claims processing experience.
3. Experience with insurance and/or medical terminology.
4. Experience with financial software packages.
5. Knowledge of claims processing procedures and documentation.
6. Proficiency with Microsoft Office Suite.
7. Strong interpersonal skills for team interaction.
8. Excellent communication skills for client interaction.
9. Negotiation skills for claimant interactions.
10. Good analytical and problem-solving skills.
11. Ability to maintain confidentiality of sensitive information.
12. Ability to work effectively in a team environment.

Other Qualifications:

1. Fellowship of Life Health Claims (FLHC) Certification preferred.
2. Knowledge of PowerBi is desirable.

Work Environment:

1. Home office, remote work.
2. Remote only within the United States.
3. Applicants must have work authorization in the U.S. without future sponsorship requirements.

Compensation ranges from $35,000 to $65,000, influenced by experience and organizational factors. Full-time employees are eligible for benefits including health, dental, vision, wellness programs, life and disability insurance, retirement plans, paid holidays, and paid time off.

Additional Information:

• DXC is an Equal Opportunity Employer.
• We participate in E-Verify and provide access to required employment posters.
• Disability accommodations are available upon request via email.
• Beware of recruitment fraud; DXC does not ask for money or equipment purchases during recruitment.