Claims Customer Service Representative

🚨 WORK FROM HOME HEALTH INSURANCE CLAIMS SPECIALISTS! 🚨20$/hr

💻 100% Remote | 🏥 Supplemental Health Claims | 📞 Customer Service | 💰 Stable Career Opportunity

Do You Know What a UB-04 and HCFA 1500 Are?

If you can confidently review medical claims, understand insurance billing forms, and speak the language of CPT and ICD-10 codes, we want to talk to you.

We're seeking experienced Remote Customer Service Representatives to support members with supplemental health insurance claims including Accident, Critical Illness, Hospital Indemnity, Medical, Dental, Vision, and Prescription benefits.

What You'll Do

Handle 40-50 inbound customer service calls daily

Assist members with claim status, benefits, eligibility, and claim inquiries

Review and interpret medical claim information

Accurately enter and process new claims

Register approximately 20 claims per day

Document customer interactions with exceptional attention to detail

Process incoming claim documentation and correspondence

Provide compassionate, professional service while meeting quality and productivity goals

MUST HAVE EXPERIENCE

🔹 Supplemental Health Claims

🔹 Accident, Critical Illness, or Hospital Indemnity claims experience

🔹 Understanding of HCFA 1500 and UB-04 claim forms

🔹 CPT, HCPCS, Revenue Codes, and ICD-10 knowledge

🔹 Experience reviewing medical claims, EOBs, medical records, provider bills, and facility claims

🔹 1+ year call center experience (remote call center preferred)

🔹 Ability to accurately interpret healthcare documentation and insurance benefits

Ideal Backgrounds

Health Insurance Claims Representative

Medical Claims Examiner

Claims Processor

Benefits Specialist

Healthcare Customer Service Representative

Medical Billing Specialist

Claims Intake Representative

Claims Coordinator

Insurance Verification Specialist

Schedule

🕥 10:30 AM - 7:00 PM CST

🌎 Remote Opportunity

Great fit for candidates located on the West Coast

Top Skills That Will Make You Stand Out

Supplemental Health Claims

Medical Claims Processing

HCFA 1500

UB-04

CPT Coding

ICD-10 Coding

EOB Review

Benefits Administration

Customer Service

Healthcare Insurance

Why This Role Is Different

This isn't your typical call center position.

You'll be assisting members through important healthcare and claims-related situations while leveraging real claims knowledge and medical billing expertise. The ideal candidate understands both the customer service side and the technical claims side of health insurance.

📩 If you've worked with accident claims, critical illness claims, hospital indemnity products, medical claims, provider billing, or insurance benefits administration, apply today!

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This is a Contract to Hire position based out of Enfield, CT.

The pay range for this position is $20.00 - $22.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave)

This is a Contract to Hire position based out of Enfield, CT.

This position is anticipated to close on Nov 23, 2026.

This is a fully remote position.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

Were a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. Were a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. Were strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. Were building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: 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.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.