Claims Specialist – Auto and Workers' Compensation

Nanyuki Sports Club; United States; Remote; USD 30,000 - 50,000; Part time

Job summary

A forward-thinking company in the healthcare sector is seeking a dedicated Auto/Work Comp Claims Specialist to join their remote team. This role is perfect for detail-oriented individuals who thrive in a flexible work environment. You will be responsible for managing insurance claims, making verification calls, and compiling medical records, all while adhering to HIPAA policies. With the opportunity to work from anywhere, this position offers a unique blend of autonomy and responsibility, allowing you to contribute meaningfully while enjoying a work-life balance. If you are organized, self-motivated, and eager to grow within a supportive team, this is the perfect opportunity for you.

Benefits

Work from home

Flexible schedule

Health insurance

Paid holidays

Paid days off

Annual Office Spending Account

Annual Health Spending Account

Pay raises based on performance

Qualifications

• Detail-oriented and organized individual needed for insurance verification.
• Self-motivated with good communication skills for remote work.

Responsibilities

• Manage ongoing Auto and Work Comp claims with attention to detail.
• Make insurance verification calls and handle medical records compilation.

Skills

English proficiency

Excellent phone skills

Communication skills

General computer skills

Education

High School Diploma

Tools

Windows 10 Pro

Cybersecurity software

Quality headset

Smartphone

Job description

We are...

Advocate Insurance Billing (AIB) is a growing insurance billing company in the United States. We provide timelyand accurate billing services for Chiropractic, Mental Health and Applied Behavior Analysis therapy clinics.

We are a completely remote company which means we do not have a “brick and mortar” location. All of our staff(including the owners) work from home. This gives us some advantages (and some challenges!) to coordinateand communicate effectively.

The work is highly detailed and can evolve and change with time.

We are looking for...

We have an available opening for an Auto/Work Comp Claims Specialist and Insurance Verification Specialist. Weare looking for a highly motivated individual who pays attention to details and is persistent and determined. Weare looking to establish a long-term working relationship with the right person.

You’ll enjoy...

If you like the idea of working from home and a flexible schedule, then this job is for you. You also have theflexibility to travel and still do your job as long as you have a reliable and secure Internet connection.

You must be...

If you are trustworthy, ambitious, organized and an efficient worker, then we are interested in you!

Role Description

The Auto/Work Comp Claims Specialist will do Insurance Verification for new Auto and Work Comp cases,manage ongoing Auto and Work Comp cases, and work with attorneys handling these type of accounts. Youwill work with a number of different softwares and websites/accounts and will also assist with Medical RecordsCompilation. Auto and Work Comp cases many times have records requests that need to be compiled forinsurance companies and attorneys.

In addition, you will all be making insurance verification phone calls and insurance card data entry.

You will work from home and work with other staff remotely. This job position is in the healthcare field and willrequire member to adhere to HIPAA policies as well as company security and privacy policies. This job positionis considered a part-time position although it will most likely turn into a full-time position. Hours will fluctuatefrom week to week.

Because part of your job will require you to make phone calls, you will need to be willing to work during U.Sbusiness hours between 7am and 6pm Central Standard Time (UTC-6 hours). Employees have flexibility in theirwork schedule for tasks that do not involve direct interaction with U.S.-based businesses, such as computerbased work or tasks that are not time-sensitive. These tasks can be completed at any time that suits yourschedule.

However, for responsibilities that require calling U.S.-based businesses, participating in live Zoom meetings withyour manager, or addressing time-sensitive questions or issues, you will need to be available during standardU.S. business hours to ensure smooth communication and workflow.

The main categories of tasks you will need to perform include:

• Ongoing claim management

• Medical records compilation

• Insurance verification calls and insurance card entry

• Rebills phone calls

• Rebill work on online portals

Skills

• Must be able to speak and write in English exceptionally well. This is a must!

• Must have excellent phone skills for conversing with U.S. based people. Making phone calls to U.S. basedbusinesses will be a significant and important part of your job.

• Must be confident on the phone; be well prepared with required information, manage the conversationefficiently, and ask detailed, relevant questions, including those beyond the initial scope, to collect allnecessary information. At times, you will need to be persistent and determined.

• Must be willing to work during U.S. business hours for making phone calls to U.S. based companies.

• Must have good communication skills to communicate remotely with your manager and team.

• General computer skills. Must be comfortable with technology and working with and learning differentsoftwares.

Experience

Past experience is valued, but not required. We will provide training on our system, procedures, and softwaretools.

Qualities/Character

The person we hire for this job position will need to possess the following qualities:

• Detailed: You must be a “detail” person that can focus on and handle lots of the details of the job.

• Organized: You must be an organized person. The job will require you to be organized as you will handlelots of different tasks and details on a daily basis.

• Confidence: You will be speaking with Americans that work at large U.S. based companies. You will need toknow what you are talking about and get the needed information.

• Self-motivated: You will not have someone physically standing over you to make sure you are getting yourwork done. You need to be self-motivated to learn the skills necessary and to perform the work on a dailybasis in a timely manner.

• Efficient: You must be efficient with your time and maximize performance.

• Honest and Trustworthy: You will have access to sensitive doctor/provider data. You will have access tomany online accounts. We need a trustworthy person that will only use the information in order to performtheir work duties. We reserve the right to do a background check on all new hires.

• Accurate: Accuracy is very important with this job! Correct data must be entered. If sloppy mistakes aremade, it affects the reputation of AIB, money is lost, etc.

• Persistent and Determined: We are not looking for a shy, timid person! We need a person that is focusedand determined to get the information required.

Tools Needed

You will need the following tools at a minimum to work for Advocate.

• New or “newer” computer, less than 3 years old

• Windows 10 Pro (not just Windows 10) or newer operating system. If using a Mac, macOS 14 Sonoma ornewer.

• Cybersecurity software installed on your computer. This type of software protects your computer formviruses, ransomware, malware, and more.

• New or “newer” smartphone, preferably less than 3 years old

• Quality headset for making phone calls, zoom.com meetings, recording training videos, etc.

• Dependable, fast Internet service

Job Benefits and Compensation

• Work from home or anywhere you have a reliable Internet connection.

• Flexibility with your time.

• Receive payment twice a month

• Pay raises and bonuses are available based on good performance.

• Health insurance (must work a minimum of 35 hours/week to qualify)

• Annual Office Spending Account for office related expenses (must work a minimum of minimum 20 hours/week to qualify)

• Annual Health Spending Account (must work a minimum of 20 hours/week to qualify) This is a certainamount of money provided every year for specific expenses related to health that the health insurance doesnot cover.

• Paid holidays

• Paid days off (must work a minimum of 35 hours/week to qualify)

*Some benefits are for full-time employees only. Full time is considered anything over 35 hours a week.