Remote Senior associate customer service Jobs – 24 Open Jobs Today

Claims - Associate
Wellcove —Remote
- Night shift
- Remote
- Medicine
- Basic math
- English
Quick apply
Associate Director of Sales
Catalys —Remote
- ₹34,393.20 - ₹80,000.00 a month
- Full-time
- Remote
- Sales
- Marketing
- Business development
Quick apply
6d
Travel Operations Manager | Remote | Luxury Travel Leadership
Fresh Prints —Remote
- Full-time
- Remote
- Hospitality
- Leadership
- Communication skills
Quick apply
Production Support Analyst
Endpoint Clinical —Remote
- Weekend availability
- Hybrid work
- B.Sc
- Databases
- SQL
13d
Associate Principal Engineer, Delivery (Core banking)
Nagarro —Remote
- Full-time
- Remote
- Computer Science
- Master's degree
- Project management
Quick apply
Tax Senior Associate - India
Graphite Financial Group,LLC —Remote
- Full-time
- Remote
- Master's degree
- Bachelor's degree
- Accounting
- Health insurance
- Paid time off
Quick apply
Renewal Specialist
TalentGum —Remote
- ₹25,000 - ₹30,000 a month
- Urgently hiring
- Remote
- Sales
- Public speaking
- English
- Health insurance
- Paid time off
Quick apply
3d
Associate Account Executive - Remote
Sprinto —Remote
- Remote
- Business development
- Presentation skills
- AI
- Work from home
Quick apply
Business Associate
BINA INTERNATIONAL —Remote
- ₹10,000 a month
- Remote
- Sales
- Customer service
- Business development
- Work from home
Quick apply
Product Support Analyst (Finance)
Infor —Remote
- Full-time
- Remote
- Software troubleshooting
- ERP systems
- English
Business Development Manager
Capital Numbers Infotech —Remote
- Email
- Remote
- B.Sc
- English
- Bachelor's degree
- Paid holidays
- Health insurance
Senior Oracle Fusion Cloud Financials Integration Consultant (OIC)
Prisio Technologies Pvt Ltd —Remote
- ₹15,00,000 - ₹25,00,000 a year
- Full-time
- Remote
- Oracle
- Computer Science
- SQL
Quick apply
9d
Sales Associate
Talentgum —Remote
- ₹25,000 - ₹30,000 a month
- Weekend availability
- Remote
- Sales
- Public speaking
- Communication skills
Quick apply
Sales Specialist
TalentGum —Remote
- ₹20,000 - ₹30,000 a month
- Weekend availability
- Remote
- Sales
- Public speaking
- Master's degree
- Health insurance
- Work from home
Quick apply
3d
Consultant - Vault Safety
Veeva Systems —Remote
- Full-time
- Remote
- Computer Science
- English
- SQL
- Health insurance
- Work from home
Oracle CPQ
FuGenEd ( Creating Opportunities For Deserving) —Remote
- ₹700 - ₹900 an hour
- Full-time
- Remote
- Microsoft Excel
- Oracle
- Sales
- Paid time off
Quick apply
Senior Info Sec Engineer
Cimpress —Remote
- Remote
- Azure
- AWS
- SDLC
- Work from home
Quick apply
Senior Node.js/AWS Developer
Foundever —Remote
- Remote
- English
- AWS
- JavaScript
5d
Associate IP Architect
Speedcast —Remote
- Full-time
- Remote
Senior Solutions Engineer
SonicWall —Remote
- Remote
- Azure
- HIPAA
- AWS
Quick apply

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Claims - Associate

Wellcove
Remote

Quick apply

Job details

Fresher

Qualifications

Medicine
Medical coding
Basic math
English
MBBS
Analysis skills
Bachelor's degree
CPT coding

Full job description

Who We Are
Wellcove has been recognized as the nation’s leading full-service senior market solutions provider for over 25 years. Our solutions span the insurance senior market sector, focusing on long-term care and Medicare Supplement plans. However, we don’t stop there. Wellcove also addresses challenges faced in accident & health, disability, and supplemental health insurance programs.

Our team provides individuals and their families with peace of mind knowing their insurance needs will be met in a thoughtful, efficient manner. We are able to do this because of our dedicated associates, innovative solutions, and state-of-the-art technology.

Key Skills: Ability to review and analyze complex medical documentation with a high degree of accuracy to prevent errors in claims processing and familiarity with medical coding systems (CPT, ICD, HCPCS) to understand and interpret medical procedures and diagnoses.

SUMMARY

A Healthcare Complex Claims Specialist is responsible for the thorough investigation, adjudication, and processing of complex healthcare claims in adherence to industry regulations and organizational policies. This role requires a deep understanding of analyzing medical records, healthcare coding systems (e.g., CPT, ICD-10, HCPCS) to accurately assess claims.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.

Ability to review and analyze complex medical documentation with a high degree of accuracy to prevent errors in claims processing.
Evaluate claims against established guidelines, contracts, and regulatory requirements.
Conduct detailed research on complex claims, pre-existing conditions, and other intricate scenarios.
Analyze medical records, policy documents, and other relevant information to make informed claim decisions.
Demonstrate proficiency in healthcare coding systems (e.g., CPT, ICD-10, HCPCS, Revenue codes, medical terminologies, Human Anatomy, Inpatient Vs. Outpatient claims) to accurately assess claims.
Apply knowledge of healthcare benefits and payment policies.
Provide clear and concise explanations of claim decisions to relevant parties.
Identify trends and patterns in complex claims to contribute to process improvements.
Candidate should be able to correctly calculate claim amounts for the customers.
Complying with company regulations regarding HIPAA, confidentiality, and private health information.

QUALIFICATIONS

Medical Graduates – MBBS, Physiotherapists, B-Pharma or life science graduates with minimum 1 year of experience in handling US Health Insurance claims.
Graduates and Fresher.

LANGUAGE SKILLS

Should have strong English comprehension, verbal and written skills
Strong medical science knowledge to comprehend medical reports

MATHEMATICAL SKILLS

Should have basic math knowledge of calculating simple interest, compound interest.

REASONING ABILITY

Should have good English comprehension and analytical skills
Should have excellent problem-solving skills with an eye for detail

WORK ENVIRONMENT

Should be open to work 24*7 and mandatory US timings, night shift

Ready to handle work pressure and ensure deliverables within timelines

At Wellcove, we strive to create an inclusive culture for all. We understand the importance of listening and incorporating various perspectives at every level of service. Our company does not discriminate based on gender identity, race, sexual orientation, age, religion, or disability.

Quick apply

Refine Your Search

senior associate customer service jobs in remote

Claims - Associate

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