Third Party Liability Claims Representative

Job Summary

Detail-oriented and proactive professionals will find a full-time remote opportunity as a Third Party Liability Claims Representative, responsible for investigating and coordinating benefits for accident claims from various liability insurance policies while ensuring timely reimbursement and compliance with billing guidelines.

Key responsibilities

• Resolve accounts quickly and accurately to maximize reimbursement for TPL claims
• Review and research accident claims to identify potential payment sources and verify relevant data
• Coordinate with payors and make appeals on denied claims to ensure proper claim disposition

Required qualifications

• High School Diploma or GED preferred
• 1-3 years of related experience in third-party claims adjudication
• Thorough knowledge of state lien statutes, CMS secondary payer rules, and state No-Fault laws
• 1-2 years working knowledge of Microsoft Office Suite and ability to learn in-house applications
• Effective verbal and written communication skills