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Remote Pip Claim Specialist Jobs

Claim Associate-Auto-Remote Jobs
By State Farm At , Murfreesboro, 37127 $39,796 - $50,405 a year
Visit State Farm Careers for more information on our benefits, locations, and the hiring process.
An annual bonus based on individual and enterprise performance
Industry leading Tuition Assistance Programs
Wellness and mental health programs
Discounts from hundreds of retailers through our Perks at Work program
Answering inbound calls and making outbound calls to customers within a fast paced, call center environment
Phone Claim Analyst (Supplemental Health) – Remote ($19.00 / Hour)
By Talentify.io At United States
Strong time management and organizational skills
Gain experience in accurate and prompt evaluation of claims
Make independent decisions using critical thinking skills
Effective communication and interpersonal skills
Proficient in computer systems and data entry
Remote work with high-speed internet connection is possible
Claim Business Specialist Jobs
By Nationwide At United States
Demonstrated process and organizational management skills
Prior experience working with an insurance carrier is preferred.
Strong written and verbal communication skills
Maintains and updates Special Handling Instructions, including system capabilities.
Acts as secondary claim operation liaison with Underwriting and Loss Control for account business requirements.
Bachelor's Degree in business and/or related field preferred.
Claim Processing Representative, Dentaquest (Remote)
By DentaQuest At United States
Adhere to approved claim workflow requirements to maximize efficiency.
Associates degree or two years of experience in a business environment.
Strong interpersonal, written and verbal communication skills.
Attention to detail, accuracy and organization skills are essential.
Cooperative, professional, and effective interaction skills with co-workers, business partners, and visitors.
Consistently process entry level and intermediate claim queues with a 99% or greater accuracy rate.
Senior Stoploss Claim Auditor (Remote)
By BlueCross BlueShield of South Carolina At Miami-Fort Lauderdale Area, United States
Communicate effectively with carriers, vendors, and management. Provide full claims service to both phone and written inquiries.
Knowledge of group insurance, managed care and direct medical claims products.
Knowledge in COB, Medicare, HIPAA, CPT, ICD-9 and benefit plan interpretation.
Two years of medical claims and/or reinsurance claims experience.
Six years of medical claims and/or reinsurance claims experience.
Prior Stop Loss insurance experience.
Claim Specialist Jobs
By Lange Recruiting At Richmond, VA, United States
A minimum of two years of medical billing experience with a computerized billing system, preferred.
Direct experience with insurance billing and follow-up.
Excellent interpersonal and customer services skills.
Strong problem solving and research skills.
Reviewing, researching and reconciling carrier rejections and denials through electronic, oral and written communications.
Working with third-party payors and insurance carriers to resolve unpaid claims.
Sr. Claim Processing Representative, Dentaquest (Remote)
By DentaQuest At United States
Associates degree and/or four years experience in a business environment
Previous claim processing experience required
Attention to detail, accuracy and organization skills are essential
Strong interpersonal, written and verbal communication skills
Cooperative, professional and effective interaction skills with co-workers, business partners and visitors
Consistently process advanced & complex claim queues with a 99% or greater accuracy rate.
Pip Siu Investigator (Remote)
By Allstate At Chicago, IL, United States
Applies broad knowledge of training facilitation and coaching skills
2 years of PIP experience, strongly preferred
Value providing an effortless customer service experience
Possess clear and professional communication skills – both written and verbal
Being bilingual and/or having prior military experience is a plus
Applies broad knowledge of insurance policy, coverage, and regulation
Claim Specialist - Lincoln - Remote ($50999.00 - $75502.00 / Year)
By Talentify.io At United States
Apply knowledge of policies and insurance regulations to determine coverage, liability, and damages
Manage workload efficiently using technology in a fast-paced call center environment
Strong written and verbal communication skills
Strong critical thinking and decision-making skills
This is a remote position, but candidates must reside within 100 miles of the Lincoln, NE area
Visit employer Careers for more information on benefits, locations, and the hiring process.
Remote - Medical Claim Coordinator (Cpc Certified)
By TalentBridge At South Carolina, United States
Utilize multiple systems, such as SharePoint, Salesforce, and Microsoft Office Products, to perform job duties effectively.
Associate's Degree from an accredited college or university or equivalent experience
At least two (2) years of experience in a medical billing, claims processing, or related position required
Experience with ICD-10 and CPT codes.
Remote - Medical Claim Coordinator (ICD-10 Certified)
Review and analyze case file materials related to claims payment disputes.
Remote Pip Adjuster Trainee, I, Ii, Or Sr.
By National General Insurance At , Farmington, 48331, Mi
Time management skills from a global case management and pending perspective (vs. transactional)
We are actively seeking Experienced PIP/Med-Pay Candidates with Michigan claims handling experience. The role is Fully Remote!
In addition to a phenomenal career opportunity, National General Insurance offers an excellent benefits package including:
Identifies customer needs and works to meet those needs using appropriate customer service skills
Bachelor’s degree preferred or equivalent experience
0-2 years of related experience
Medical Claim Specialist Jobs
By Allied Benefit Systems At United States
Applicants must have strong analytical skills and knowledge of computer systems.
Review Workflow Manager daily to document and release pended claims, if applicable.
Attend continuing education classes as required, including but not limited to HIPAA training.
Continuing education in all areas affecting group health and welfare plans is required.
Applicants must have a minimum of two (2) years of medical claims analysis experience (Medicare/Medicaid does not count towards the experience).
Prior experience with a Third-party Administrator is highly preferred.
Manager Clinical Claim Review - Remote
By UnitedHealth Group At , Minnetonka, 55345, Mn $85,000 - $167,300 a year
Collaborate with physicians, claims operations, prior authorization, utilization management, local market teams and support staff as needed
Solid communication, presentation and writing skills
Solid knowledge of medical claims and medical necessity review processes
Intermediate experience using Microsoft Office applications (Word, Excel (pivot tables), PowerPoint)
Proven solid attention to detail and accuracy, excellent evaluative and analytical skills
2+ years of leadership experience
Claim Rep, Casualty (Fully Remote Or Hybrid)
By MAPFRE At United States
Additional Knowledge, Skills And Abilities
Must possess good to strong CRT / PC skills with accurate keyboarding abilities.
Ability to assimilate job responsibilities quickly and professionally.
Strong telephone customer service skills and the ability to empathize is needed.
Must possess good math skills and be able to work in a fast paced environment.
Insurance Industry Education desirable but we will train the people with the right mind set, follow through and aptitude
Homeowner Senior Claim Specialist
By AAA-The Auto Club Group At United States
Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system.
Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent
Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience.
Manage time, organize and plan workload and responsibilities.
Ensure all possible policyholder benefits are identified.
May assist claim manager with file reviews and training.
Remote Apd Claim Representative Ii
By AAA-The Auto Club Group At Florida, United States
Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent
Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience.
Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include:
Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience
One year of experience with:
Analyze and solve problems while demonstrating sound decision making skills.
Accident And Health Claim Representative (Remote)
By Intact Insurance Specialty Solutions At , Denver, Co $63,000 - $74,100 a year
Stays abreast of state license requirements and participates in education as required.
Strong claims technical knowledge for associated line of business.
Must show the ability to develop or have proven analytical, negotiation, decision making, problem solving and organizational skills.
Bachelor’s degree preferred or equivalent claims technical experience required.
1-3 years of claims experience.
Independently determines exposure, establishes adequate initial reserves, and makes timely adjustments as required.
Claim Specialist I (Remote)
By CUNA Mutual Group At , Waverly, 50677, Ia $39,000 - $58,500 a year
Provide a high quality customer service experience characterized by educating customers, keeping customers informed of next steps and answering customer questions.
Follow documented department claim procedures and requirements defined by claims good faith claim handling guidelines.
Associate Degree or equivalent work experience
Strong continuous improvement, analytical, critical thinking, problem solving and decision-making skills
Demonstrated interpersonal and customer service skills
Excellent communication skills; Spanish speaking is a plus
Assistant Claim Specialist Jobs
By Allied Benefit Systems At United States
Applicants must have strong analytical skills and knowledge of computer systems.
Review Workflow Manager daily to document and release pended claims, if applicable.
Attend continuing education classes as required, including but not limited to HIPAA training.
Continuing education in all areas affecting group health and welfare plans is required.
Applicants must have a minimum of two (2) years of medical claims analysis experience (Medicare/Medicaid does not count towards the experience).
Prior experience with a Third-party Administrator is highly preferred.
Claim Specialist - Newark, Oh - Remote
By State Farm At Newark, OH, United States
Applying knowledge of policies, and insurance regulations when determining coverage, liability, & damages
Strong written and verbal communication skills
Strong critical thinking and decision-making skills
An annual bonus based on individual and enterprise performance
Paid Time Off (PTO), plus:
5 days of Life Leave to take care of yourself and your family

Are you looking for a challenging and rewarding role in the insurance industry? We are looking for a Remote Pip Claim Specialist to join our team and help us provide excellent customer service to our clients. You will be responsible for reviewing and processing claims, ensuring accuracy and timeliness, and providing customer service to our clients. If you are an experienced professional with a passion for customer service, this is the perfect job for you!

Overview A Remote PIP Claim Specialist is responsible for processing and managing claims for Personal Injury Protection (PIP) insurance. They review and analyze claims to determine the validity of the claim and the amount of coverage that should be provided. They also provide customer service to policyholders and claimants, as well as investigate and resolve disputes. Detailed Job Description The Remote PIP Claim Specialist is responsible for processing and managing claims for Personal Injury Protection (PIP) insurance. This includes reviewing and analyzing claims to determine the validity of the claim and the amount of coverage that should be provided. The Remote PIP Claim Specialist must also provide customer service to policyholders and claimants, as well as investigate and resolve disputes. The Remote PIP Claim Specialist must have excellent communication and customer service skills, as well as a thorough understanding of the insurance industry and PIP coverage. They must be able to accurately assess claims and make decisions based on the information provided. They must also be able to effectively manage their time and prioritize tasks. Job Skills Required
• Excellent communication and customer service skills
• Thorough understanding of the insurance industry and PIP coverage
• Ability to accurately assess claims and make decisions
• Ability to effectively manage time and prioritize tasks
• Ability to work independently and as part of a team
• Ability to work in a fast-paced environment
Job Qualifications
• Bachelor’s degree in business, finance, or a related field
• At least two years of experience in the insurance industry
• Knowledge of PIP coverage
• Knowledge of state and federal regulations
• Ability to use computer systems and software
Job Knowledge
• Knowledge of PIP coverage
• Knowledge of state and federal regulations
• Knowledge of insurance industry practices and procedures
Job Experience
• At least two years of experience in the insurance industry
• Experience with customer service
• Experience with claims processing
Job Responsibilities
• Review and analyze claims to determine the validity of the claim and the amount of coverage that should be provided
• Provide customer service to policyholders and claimants
• Investigate and resolve disputes
• Maintain accurate records of all claims
• Ensure compliance with state and federal regulations
• Monitor and update claims as needed
• Communicate with other departments as needed