Remote Medical Claims Specialist

Crawford; St. Louis (MO); Remote; USD 21,000 - 38,000; Full time

Benefits offered by this job

Medical plans

Dental plans

Vision plans

HSA/HRA/FSA

Paid holidays

Vacation and sick leave

401(k) retirement plan

Tuition assistance

Parental leave

Mental health support

Virtual physical therapy

Caregiving services

Life assistance program

Job summary

Crawford is seeking a Full-time Claims Clerk to process medical-only and maintenance claims under supervision in Saint Louis, MO. The role involves authorization-based payment processing, data entry, and communications with insureds, claimants, and providers.

You will work within Crawford’s claims team and uphold established procedures. Qualified candidates have at least two years in claims processing, a College degree or equivalent, and strong communication skills.

Qualifications

• Demonstrates effective and diplomatic oral and written communication skills.
• Customer-focused approach including ability to identify and understand customer needs.

Responsibilities

• Processes Medical only claims within authority up to $3,500.
• Handles claims open for medical benefits (maintenance claims) without actuarial reserves.
• Verifies coverage and reports status of claims via phone with insureds, claimants, and providers.
• Reviews and updates data in computerized systems and approves medical bill payments within authority.
• Communicates with Team Manager on errors, issues, and status of claims.
• Documents receipt and contents of medical reports and handles related correspondence.

Skills

Communication skills

Customer focus

Attention to detail

Education

College degree or equivalent

Job description

Crawford is seeking a Full-time Claims Clerk to process medical-only and maintenance claims under supervision in Saint Louis, MO. The role involves authorization-based payment processing, data entry, and communications with insureds, claimants, and providers.

You will work within Crawford’s claims team and uphold established procedures. Qualified candidates have at least two years in claims processing, a College degree or equivalent, and strong communication skills.