Claims Processor- 100% Remote

Schedule: 20 Hours a week

• Account Searches and police reports
• Make initial contact and document file upon receipt of first notice of loss
• Send appropriate claim forms to claimants, insureds, and/or representatives
• Review file for proper reserves and document file
• Request missing documentation needed to appropriately manage file
• Provide support to litigation/legal departments with Disputes, Appeals, Pre-suits
• Provide support with Post Service appeals, assignments, Dispute Awards Settlements and/or withdrawals
• Make appropriate payments for awards, settlements, and interest where applicable
• Ability to re-route documentation when a claim is not in system
• Cycle time file reviews for missing or pending documents, open billing and file closure

• Excellent organizational skills and attention to detail
• Conducts interactions with sensitivity, maturity and professionalism
• Knowledge of claims systems and procedures
• Excellent written and verbal communication skills
• Ability to maintain confidential information
• Comfortable in a high-volume, fast, team-oriented environment
• Proficient in Microsoft Office Suite
• Manage day-to-day operations to ensure SOPs are being followed as defined in our clients’ SLAs

• Bachelor’s degree or relevant experience required
• Prior carrier or adjuster experience
• Knowledge of New Jersey No Fault PIP regulation, 2-3 years preferred
• Minimum 2 years medical billing or claims processing background