Remote Insurance Claims Processor

Placements24; Mbombela (Nelspruit); Hybrid; ZAR 180,000 - 240,000; Full time

Benefits offered by this job

Competitive salary

Health, dental, and vision insurance

Retirement savings plan with employer

Remote work with equipment provided

Paid time off and holidays

Job summary

Placements24 is seeking a diligent Remote Insurance Claims Processor to join their fully remote team. You will process a variety of insurance claims accurately, verify coverage, and maintain records while adhering to company policies and regulatory requirements.

The role emphasizes strong administrative and data processing skills, independence in a remote setting, and the ability to communicate with policyholders and internal teams.

Qualifications

• Previous experience in claims processing or a similar administrative role.
• Strong data entry skills and exceptional attention to detail.
• Proficiency with computer systems, including Microsoft Office Suite and claims management software.
• Excellent organizational and time management abilities to handle a high volume of tasks remotely.
• Ability to work independently with minimal supervision in a remote setting.

Responsibilities

• Receive, review, and process insurance claims accurately and in a timely manner using designated software systems.
• Verify policy coverage and gather necessary documentation to support claim assessments.
• Input claim data, update claim status, and maintain accurate records throughout the claims process.
• Communicate with policyholders, claimants, and internal departments to obtain required information or clarify details.
• Identify potential issues or discrepancies and escalation to the appropriate personnel for resolution.
• Ensure adherence to all company procedures, regulatory requirements, and service level agreements.
• Assist with generating reports on claim processing activities as needed.

Skills

Data entry

Attention to detail

Time management

Remote work

Education

High school diploma or equivalent

Tools

Microsoft Office

Claims management software

Job description

About the Role

Our client is seeking a diligent and organized Remote Insurance Claims Processor to join their fully remote team. In this role, you will be responsible for efficiently and accurately processing various types of insurance claims, ensuring compliance with company policies and industry regulations. You will play a vital part in the claims lifecycle, providing timely service to policyholders and contributing to the overall efficiency of the claims department. This position is ideal for individuals who thrive in a remote work environment and possess strong administrative and data processing skills.

Key Responsibilities

• Receive, review, and process insurance claims accurately and in a timely manner using designated software systems.
• Verify policy coverage and gather necessary documentation to support claim assessments.
• Input claim data, update claim status, and maintain accurate records throughout the claims process.
• Communicate with policyholders, claimants, and internal departments to obtain required information or clarify details.
• Identify potential issues or discrepancies and escalation to the appropriate personnel for resolution.
• Ensure adherence to all company procedures, regulatory requirements, and service level agreements.
• Assist with generating reports on claim processing activities as needed.

Requirements

• Previous experience in claims processing or a similar administrative role, preferably within the insurance industry .
• Strong data entry skills and exceptional attention to detail.
• Proficiency with computer systems, including Microsoft Office Suite and claims management software.
• Excellent organizational and time management abilities to handle a high volume of tasks remotely.
• Ability to work independently with minimal supervision in a remote setting.
• Good written and verbal communication skills.

Benefits

• Competitive annual salary and potential for performance bonuses.
• Comprehensive health, dental, and vision insurance coverage.
• Retirement savings plan with employer match.
• Opportunity to work from home with provided equipment and support.
• Paid time off and holidays.