Remote Claims Examiner

Virtual Vocations Inc · Workfromhome, United States

Working remotely, the full-time Remote Claims Processing Associate will manage the processing of professional claim forms, review policies and benefits, and ensure compliance with company regulations while maintaining high-quality standards. Key responsibilities Process professional claim forms and review associated policies and benefits Research, review, and adjudicate claims while adhering to defined workflows and turnaround times Maintain quality scores above 98.5% PA and 99.75% FA, ensuring timely responses to claims Required qualifications 3 years of hands-on experience in Healthcare Claims Processing 2+ years of experience using Windows applications and navigating multiple computer systems High school diploma or GED Experience working in a productivity and quality-focused environment Proficiency in MS Office products, including Outlook, Word, and Excel