Fire Claims Billing Specialist

Kaizen Lab Inc.; Remote; USD 40,000 - 50,000; Full time

Job summary

A claims processing company is seeking a Fire Claims Billing Specialist located in Texas. The role involves meeting production targets for claims processing, accurate billing to insurance carriers, and effective communication with clients and adjusters. Candidates must have at least a high school diploma and experience in fire incident claims. Strong customer service and organizational skills are essential, along with proficiency in Microsoft Office. This position is remote but requires Texas residency.

Qualifications

• Minimum of one year of experience in fire incident claims processing or a related field required.
• Familiarity with fire terminology and report structure required.

Responsibilities

• Meet production targets for claims processing while maintaining accuracy.
• Retrieve and review incident data to ensure completeness.
• Communicate with insurance adjusters and clients to facilitate claim processing.
• Verify accuracy of submitted claims prior to submission.
• Enter and maintain insurance policy information in the database.
• Calculate and submit billing to insurance carriers promptly.
• Monitor claim statuses and follow up on unpaid or delayed claims.
• Manage appeals and respond to denied claims as needed.
• Maintain accurate records for all assigned accounts.

Skills

Microsoft Office (Excel, Outlook, Word)

Customer service skills

Verbal communication skills

Written communication skills

Attention to detail

Organizational skills

Time management skills

Education

High school diploma or equivalent

Associate degree in insurance, business administration, or accounting

Job description

The Fire Claims Billing Specialist

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Meet individual production targets for claims processing while maintaining accuracy and compliance.
• Retrieve and review incident data from clients to ensure all necessary information is collected.
• Communicate effectively with insurance adjusters, insured drivers, and businesses to clarify information and facilitate claim processing.
• Verify the accuracy and completeness of submitted claims prior to submission.
• Enter, update, and maintain insurance policy and claim information in the company database.
• Calculate, prepare, and submit accurate billing to insurance carriers promptly.
• Process inspection and claim payments, including over-the-phone payments.
• Monitor claim statuses and follow up on unpaid or delayed claims to ensure timely resolution.
• Manage appeals and respond to denied claims as needed, providing supporting documentation.
• Contact responsible parties and insurance companies regarding claims outstanding over 30 days.
• Maintain accurate and organized records for all assigned accounts.
• Assist with special projects and perform other duties as assigned.

EDUCATION AND EXPERIENCE

• High school diploma or equivalent required; associate degree in insurance, business administration, accounting, or a related field preferred.
• Minimum of one year of experience in fire incident claims processing or a related field required.
• Familiarity with fire terminology and report structure required.

REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES

• Intermediate or higher proficiency in Microsoft Office (Excel, Outlook, Word).
• Strong customer service skills and professional demeanor.
• Excellent verbal and written communication skills.
• High level of accuracy and attention to detail.
• Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
• Strong organizational and time management skills.

APPLICANTS MUST LIVE IN TEXAS TO BE CONSIDERED FOR THIS REMOTE ROLE.

Emergicon requires satisfactory pre-employment background check and drug screen.