Remote Claims Specialist - Detail-Driven & Accurate

Ian Martin Group; United States; Remote; USD 26,000 - 37,000; Full time

Job summary

Raise is seeking a Claims Specialist for a remote role with BYOD considerations. The position focuses on processing a full range of claims, maintaining SLA adherence, and ensuring high accuracy in a fast-paced environment.

The role requires strong math, critical thinking, and excellent communication skills. Training is conducted remotely, with a structured 2-week onboarding schedule and shifts aligned to PT.

Qualifications

• Professional degree or equivalent experience.
• Excellent attention to detail.
• Strong communication skills, both written and verbal.
• Sharp critical thinking skills with sound judgment.
• Ability to sit at a computer workstation for long periods.

Responsibilities

• Follows written procedures and scripts.
• Consults with team leadership and peers on case work.
• Uses proprietary software tools to access and review claim documents, enter claim decisions, and create escalations when needed.
• Communicates immediately to leadership all obstacles to completing work.
• Meets and exceeds departmental expectations for accuracy and productivity.
• Contributes subject area expertise to determine processing guidelines and assess if standards have been met.
• Utilizes documented team processes to ensure compliance with departmental standards.
• Data entry and verification.
• Drafts claimant facing communications based on guidance provided.
• Communicates directly with claimants by phone or email.
• Verifies data and processing requirements and makes corrections as necessary.
• Other projects as assigned.

Skills

Strong Basic Math Skills

Critical Reasoning/Thinking

Attention to detail

Ability to follow procedures

Good verbal and written communication

Education

Professional degree or equivalent experience

Job description

Raise is seeking a Claims Specialist for a remote role with BYOD considerations. The position focuses on processing a full range of claims, maintaining SLA adherence, and ensuring high accuracy in a fast-paced environment.

The role requires strong math, critical thinking, and excellent communication skills. Training is conducted remotely, with a structured 2-week onboarding schedule and shifts aligned to PT.