Claims Associate - Consumer at ObjectWin: 100% Remote (Seven Hills, OH)

Other Jobs To Apply

No other job posts for this day.

Claims Associate - Consumer

Location: Seven Hills United States

Job Description:

Claims Associate - Consumer
Remote
3 Months - Contract

Notes:
Looking for Property & Casualty license
Must be bilingual English and Portuguese or Spanish

Job Description
PRIMARY PURPOSE: To provide high-quality service to both internal and external customers, delivering an easy and efficient customer experience for routine lost time.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Processes incoming calls, faxes and voicemails from claimants, providers, clients, attorneys, etc., resolving their claims related questions and issues in accordance with designed guidelines and policies.
Communicates claims status and current claim activity with client and appropriate medical contact; responds to inquiries about jurisdiction- and claim-specific issues.
Enters data into claims system(s) and ensures claim files are properly documented, and claims coding is correct.
Coordinates claimant address updates or changes with internal departments. Provides referrals to legal, utilization review, pharmacy, and Special Investigations Unit (SIU) as appropriate and coordinates independent medical examinations.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES
Performs other duties as assigned.
Supports the organization's quality program(s).

Education & Licensing
High school diploma or GED required.
Associate's degree from an accredited college or university preferred.
Professional certification as applicable to line of business preferred.

Experience
Two (2) years of administrative and/or customer service experience or equivalent combination of education and experience required.

Skills & Knowledge
Excellent oral and written communication skills
PC literate, including Microsoft Office products
Strong investigation and organizational skills
Good interpersonal skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies

Back to blog

Other Jobs To Apply

Remote Real-Time Captioning Scribe

Legal Transcriptionist - Milwaukee(remote)

Work at Home Data Entry Agent - Part Time

(Reviewer) Netflix Job Openings Application $335/Hours – Job ID- 404 Job ID- 2577

Overnight Jobs Near Me Remote | $25–$35/Hour Night Shift Work from Home – No Experience, No Commute, Just Quiet, Paid Work

Registered Nurse - Utilization Management (Remote)

Clerks. Part Time Data Entry Home Based

FULL TIME Netflix Remote No Experience $24/hour At Careermilard

[Remote] Data Entry Specialist, Entry Level

**Experienced Overnight Chat Assistant – Remote Evening Shift Support Specialist**

Entry-Level Content Moderator: Guard Global Community

Part-Time Data Entry (night shifts) – onlinehealthjourney (job id : 1675673842)

Evening Customer Care Associate – Healthcare Member Services & Navigation (Remote – Full‑Time, Evening Shift)

Amazon Immediate Data Entry and Form Filling Job Opening - Work from Home

Work at Home Chat Support for Moms with No Experience

Remote Cybersecurity GRC Evaluator for AI Outputs

US-Based Remote Airport Testing Specialist (Freelance)

Amazon Warehouse Clerk – Florence, SC

Data Entry Clerk Work From Home - Part-Time Focus Group Participants (Up To $750/Week)

Work From Home Office Assistant

Remote Entry Level Sales Representative

Security Consultant Intern - Hands-on Cyber Defense

Art Archivist

Remote Administrative Assistant

Remote Data Entry Amazon Specialist - No Experience - Part-Time

**Experienced Part-Time Evening Customer Service Representative – Shareholder Communications Specialist**

Telehealth Representative - Remote Evening & Weekend Work

Entry-Level Remote Data Entry Specialist for Aetna Careers At Home - Studies, Resolution, and Records Correction

Online Amazon Jobs (Full Time) At Home – Office Associate

Real Estate Virtual Assistant - Remote

Online Data Entry- Remote

Charter Cabin Attendant (Flight Attendant)

Walmart Careers Remote (Specialist, Building Controls) $20-25 An Hour

**Work From Home Entry Level Remote Chat Support (Non-phone) Representative – Flexible and Rewarding Career Opportunity**

Stay-at-Home Moms 21–39: Become a Paid Gestational Carrier (Prior Birth Required Paid $50K-$85K)

amazon work from home $15+/ Hour (Sign on Bonus!)!

Amazon Customer Service - Work From Home $16-$24/hr

Walmart Remote Jobs – Data Entry & Support Roles Hiring Now

Call Center Agent (PT or FT - 100% Work From Home)

Remote Tele-Radiologist CT & MRI Reports (Case-Based Pay)

Copywriter/ Typing- Remote

Remote Data Entry Specialist

Distance Learning– Adjunct Faculty – Online (Remote) – College of Education

Online Transcription Jobs for Teens Entry Level

**Immediate Hiring: Data Entry Specialist (Night Shift) at arenaflex**

Copywriter - Fundraising & Marketing Remote Entry Level

Remote Junior Sports Data Entry Administrator – Global Sports Analytics & Data Management Specialist

amazon flex $15+/ Hour (Sign on Bonus)!

Data Entry Specialist – Entry‑Level Logistics Data Management Role with UPS (Remote, Immediate Start, No Experience Required)

Sales District Leader Trainee

Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...