Claims Examiner

Claims Examiner

BCforward is currently seeking a highly motivated Claims Examiner for an opportunity- 100% Remote

Position Title: Claims Examiner

Location: 100% Remote

Anticipated Start Date: 08/21/2025

Please note this is the target date and it is subject to change. BCforward will send official notice ahead of a confirmed start date.

Expected Duration: 12 months contract

Job Type: [FULL TIME (>%3D40 HRS WEEKLY) [CONTRACT], [REMOTE]

Pay Range: $16.86/hr. - $17.30/hr.

Please note that actual compensation may vary within this range due to factors such as location, experience, and job responsibilities, and does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.).

Job Description:

Processes less complex or small standard claims to ensure accurate and timely completion.

Essential Job Functions

• Enters insurance claims received electronically or in written form.
• Answers incoming customer calls regarding claim processing.
• Documents claim and associated history.
• Evaluates available information to validate straightforward basic claims.
• Verifies policyholder information, policy effective dates, premium status and verification of claim eligibility.
• Sends claim form to claimant for updating, correction or completion.
• Identifies need for additional information; contacts appropriate source to obtain needed information. Verifies beneficiary or claimant information if claim is warranted.
• Identifies payment amount and obtains required management approvals for payment.
• Processes payment.
• Advises claimant of status and resolution of claim.
• Escalates claimant concerns as appropriate.

Basic Qualifications

• High school diploma or G.E.D.
• Zero or more years of claims experience
• Experience working with insurance and/or medical terminology
• Experience working with appropriate claims processing procedures and documentation

Other Qualifications

• Basic analytical and problem-solving skills
• Interpersonal skills to interact with team members
• Communication skills to communicate with customers
• Data entry skills
• Ability to keep sensitive and confidential material private
• Ability to work in a team environment

Work Environment

Office environment

Benefits:

BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.

Keywords:

Insurance Claims, Incoming Calls

About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward' s 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.

Interested candidates please send resume in Word format Please reference job code 241455 when responding to this ad.

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