Remote Claims Review Specialist

Talentoma; Oregon; À distance; USD 88 000 - 96 000; Plein temps

Avantages offerts par ce poste

Fully remote from Oregon

Structured onboarding

Claims training

Résumé du poste

Talentoma is seeking a methodical Claims Review Associate for a fully remote role based in Oregon. You will connect claim-file details, coverage language, and payment records to reach well-supported outcomes.

Prior experience in claims operations, quality review, finance support, or document auditing is a plus. Responsibilities include reviewing files for completeness, verifying payments and deductibles, identifying inconsistencies, and preparing clear findings and recurring-error reports for

Qualifications

• Experience with claims review or financial reconciliation.
• Knowledge of claim lifecycles and coverage terms.
• Ability to interpret policy language against evidence.
• Proficient with claims platforms and audit tools.
• Remote work from Oregon with onboarding and training.

Responsabilités

• Review claim files, loss reports, policy provisions, and documents for completeness.
• Verify payments, reserves, deductibles, and entries against documentation.
• Identify inconsistencies or processing exceptions and route to adjusters.
• Perform quality sampling and document results in audit trackers.
• Prepare findings summaries and recurring-error reports for stakeholders.
• Handle policyholder and claim information per privacy and compliance standards.

Connaissances

Claims review

Financial reconciliation

Quality assurance

Transaction auditing

Policy language interpretation

Claims platforms

Spreadsheets

Audit-tracking tools

Decision making

Outils

Audit-tracking software

Spreadsheets

Description du poste

Talentoma is seeking a methodical Claims Review Associate for a fully remote role based in Oregon. You will connect claim-file details, coverage language, and payment records to reach well-supported outcomes.

Prior experience in claims operations, quality review, finance support, or document auditing is a plus. Responsibilities include reviewing files for completeness, verifying payments and deductibles, identifying inconsistencies, and preparing clear findings and recurring-error reports for