Claims Processing Specialist - Remote

Overview

The Claims Processing Specialist is responsible for processing performance-based funding and employment-related financial supports while ensuring accuracy, compliance, and confidentiality.

In Short

• Process client and employer financial support claims.
• Ensure quality assurance for claims processed by staff.
• Answer inquiries regarding claims and administrative questions.
• Communicate issues regarding ineligible claims.
• Provide support and guidance on claims processing.
• Keep up with emerging trends for claims assessment.
• Handle discrepancies and escalate issues as necessary.
• Develop understanding of contracts and guidelines.
• Perform standard and ad hoc data entry tasks.
• Utilize case management systems effectively.

Requirements

• Strong auditing background and data entry experience.
• 2-3 years of experience in a similar role.
• Proficient in MS Office, especially Excel and Word.
• Detail-oriented with high accuracy.
• Ability to adapt to change.
• Understanding of confidentiality needs.
• Composure during high-pressure situations.
• Results-driven with creative problem-solving skills.
• Excellent organizational and time management skills.
• Ability to work in a fast-paced environment.

Benefits

• Competitive salary of $50,700 per year.
• Comprehensive health and dental benefits.
• Ongoing learning and development opportunities.
• Generous time off policy for work/life balance.
• Diverse and inclusive workplace.