Customer Operations – Workers Compensation Claims

This is a fully remote position, open to applicants in Alabama, +27 more states.

📋 Description

• Conduct high-volume outbound calls to investigate, bill, and optimize payments on medical claims for hospital and healthcare provider clients.

• Investigate and resolve issues with denied or problematic workers' compensation claims.

• Reach out to patient employers, insurance representatives, attorneys, and patients.

• Submit bills and necessary documentation to insurance providers or relevant payers.

• Review payer details and documentation when bills are improperly paid and determine subsequent actions.

• Engage in special projects to meet objectives and ensure client success.

• Stay present, actively participate, and remain on camera during training sessions.

⛳️ Requirements

• Must reside in the United States within one of the designated eligible states.

• Eligibility to work in the United States is required.

• Successful completion of a background check is mandatory.

• Proficient in Microsoft Office (Word, Excel, Outlook).

• Technical capability to operate multiple computer screens and software applications at the same time.

• Ability to sustain strong performance metrics in a fast-paced environment.

• Skill in remaining organized while handling multiple tasks.

• Strong critical-thinking and problem-solving abilities.

• Excellent verbal and written communication skills in a professional context.

• Must be able to work in a private, distraction-free home office.

• A secure internet connection is a requirement.

• Home internet speeds must exceed 20 Mbps for downloads and 10 Mbps for uploads.

• Workspace must accommodate required workstation equipment and related materials.

• Experience with Coordination of Benefits and a general understanding of insurance billing is advantageous but not mandatory.

• Must maintain full attention during scheduled work hours and actively participate on camera.

• Ability to manage a high volume of both inbound and outbound calls while upholding accuracy and productivity standards.

🏝️ Benefits

• Incentive Plan.

• Comprehensive training starting on the first day, lasting 8–10 business days.

• Ongoing support from colleagues after training.

• Access to an extensive knowledge base.

• Equipment and necessary work tools provided.

• Supportive management involvement.

• Remote work from home flexibility.