Claim Support Representative (Remote)
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AI Summary
The representative gathers medical records and communicates with policyholders to assess benefit eligibility. They are also responsible for processing claim tasks, managing payments, and maintaining electronic claim files.
Claim Support Representative (Remote)
Department: Claims Administration & Adjusting
Employment Type: Permanent - Full Time
Location: Home United States
Reporting To: Nicole Bitzas
Compensation: $19.50 - $25.35 / hour
Description
Our Story
Imagine being part of a team that’s not just shaping the future but actively driving it. At Davies North America, we’re at the forefront of innovation and excellence, blending cutting-edge technology with top-tier professional services. As a vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance and regulated sectors.
What's in Store
We are on the lookout for a Claim Support Representative to join our growing team@! The Claim Support Representative is expected to carry out the following job functions and responsibilities with significant guidance from the Claim Director and other experienced claim resources. The job duties of the Claim Support Representative vary by location and by client companies. The following job duties are all encompassing, and managers should determine which job duties apply on a case-by-case basis.
Key Responsibilities
- Participate in DLH training programs
- Gather medical records and other information needed to assess ongoing benefit eligibility
- Communicate with Policyholders and their authorized representatives and respond to verbal and written inquiries
- Record information in claim files and input data into electronic systems to track activities and claim status, to disburse benefits and to produce management reports
- Process, maintain and manage claim tasks and repetitive template payments for RPU/APU claims
- Responsible for requesting and filing Attending Physician Statements and Continuance of Disability forms on RPU/APU claims
- Participate in special projects as requested, and perform other related job functions as required
- Support company values of We are Dynamic, We are Innovative, We are Connected, and We Succeed Together
This is a full-time remote role.
Skills, knowledge & expertise
- High school degree; Associates degree preferred
- 2–3 years’ experience in an office environment
- Insurance industry experience and familiarity with medical terminology preferred
- Expert knowledge of disability insurance
- Excellent cognitive ability, analytical skills, organization, and recall
- Excellent oral and written communication and interpersonal skills
- Proficiency with Microsoft Word and Excel
- General knowledge of all operations functions
- Organization and attention to detail
- Solid Customer service skills
- Ability to handle multiple tasks
- Ability to handle sensitive and confidential issues
- Ability to work in a fast-paced environment
- Ability to work individually and as a team player
- Ability to adapt to changes in the work environment
- Fluent in Spanish preferred
Equal Employment Opportunity & Legal Notices
Benefits
At Davies North America, we are dedicated to supporting the well‑being and future of our qualifying employees. Our comprehensive benefits package includes:
- Medical, dental, and vision plans to support your health and that of your family
- A 401(k) plan with employer matching
- Time‑off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non‑exempt employees
- Paid holidays
- Life insurance and short‑term and long‑term disability coverage
Benefit offerings, eligibility, and required employer contributions may vary based on role, classification, and applicable federal, state, and local laws, including those tied to an employee’s primary work location.
Where required by law, the Company provides paid sick leave, paid family and parental leave, and other mandated benefits in accordance with applicable state and local requirements.
Diversity and Inclusion
Davies is dedicated to fostering a diverse and inclusive workplace that embraces a wide range of perspectives and experiences. We believe that diversity of thought is essential for innovation and creativity, and we actively promote an environment where all voices are valued and heard.
Compensation Transparency:
The salary range listed reflects the full compensation band for this role across all locations. Actual compensation will be based on factors such as skills, experience, qualifications, and geographic location, which may impact the final offer. We share ranges to remain transparent and consistent with pay equity practices.
Background Check & Fair Chance Compliance
Compensation Transparency:
The salary range listed reflects the full compensation band for this role across all locations. Actual compensation will be based on factors such as skills, experience, qualifications, and geographic location, which may impact the final offer. We share ranges to remain transparent and consistent with pay equity practices.
Background Check & Fair Chance Compliance
Any background check or review of criminal history, if applicable to the role, will be conducted only after a conditional offer of employment and in compliance with applicable federal, state, and local laws, including fair‑chance hiring requirements.
Massachusetts Notice
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Massachusetts Notice
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
We do not use sites like Facebook, Craigslist, or Telegram to recruit or interview potential employees or contractors. If you have been asked to provide any information through any method other than our career portal, please email us at recruitment@davies-group.com
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