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

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

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...

Other Jobs To Apply

Human Resources Manager (Full-Time, Remote) (Remote)

REMOTE ENTRY-LEVEL POSITION - Full/Part-Time Available| Beginner Friendly - Start ASAP

Flight Attendant (PT or FT with Premium Pay)

Aetna Remote Jobs, Aetna Careers Remote @ Joblagii ( Manager Account Management )

Software Engineer Principal (Remote)

Airlines Customer Service Remote Jobs, Remote Airline Jobs Atlanta Apply In USA ( Customer Assi[...]

Amazon Delivery Driver

Senior SOC Analyst - 2nd Shift Weekends

Portuguese (Brazilian or European) Remote Interpreter

Amazon Content Moderator Job (Remote) $22/H ?? Part-Time ?? US

Regulatory and Start Up Specialist (Portuguese speaker) (Fully Remote)

Remote Cyber Security Engineer - Flexible, Part-Time

Tier 1 SOC Analyst - REMOTE

Chat Agent

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

Flexible Sortation Warehouse Associate(Smyrna)

Amazon Customer Service - Work From Home $16-$35/hr

Philadelphia Overnight Warehouse Associate with $21-$25/hr Pay

Warehouse Associate (PT/FT with 1st/2nd/3rd shift openings)

Data Entry / Medical Billing Work at Jobs

Registered Nurse Triage and Transitions Team PRN

Administrative Assistant (Remote)

Remote Customer Service Specialist

Warehouse General Labor & Forklift

Remote Call Center Representative

Area Manager II

*New - Infusion Prior Authorization Specialist – Remote Position – (Experienced)

Amazon Work From Home Data Entry Jobs, Amazon Looking To Fill 250 Work-From-Home Jobs Apply For[...]

Earn Extra Cash as a Local Delivery Driver

Sr. Ad Operations Manager, Social Marketing

Warehouse Operations

Warehouse / Supply Assistant

Abbeville,LA:XL Warehouse Associate at Amazon | Hiring

Part-Time Application Reader, Undergraduate Admissions

Amazon Fulfillment Center - Warehouse

Amazon Data Entry Jobs from home - No Experience Needed

Amazon Delivery Driver

Scalehouse Attendant

Resource Liaison

Cashier Assistant (Front End)

Remote Product Tester - $25-45 per hour

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

Software Engineer - Prime Video

Entry Level Customer Service - Work From Home ™

Amazon Package Delivery Driver - Earn $20.00 - $28.00/hr

Student Warehouse Operative, Entry Level (No Experience Needed)

Walmart Data Entry Work From Home (Entry Level/No Experience Required)

Clinical Quality PM, One Medical Senior Health

Weekend Remote Chat Support Jobs – Work Saturdays & Sundays Only | $25–$35/hr

Online Proofreader