Claims Processor

Job Summary

Working remotely in a full-time capacity, the Claims Processor will review and process insurance claims by verifying policy coverage, gathering necessary information, and determining appropriate payouts while ensuring compliance with company guidelines and HIPAA regulations.

Key responsibilities:

• Review insurance claims and verify policy coverage while documenting all necessary information
• Interact with policyholders and stakeholders to facilitate the claims process and ensure compliance
• Provide support to litigation and legal departments with disputes, appeals, and settlements

Required qualifications:

• Bachelor's degree or relevant experience required
• Minimum of 2 years in medical billing or claims processing
• Prior carrier or adjuster experience preferred
• Knowledge of New Jersey No Fault PIP regulation is a plus
• Proficiency in claims systems and Microsoft Office Suite