Claims Representative

 Posted 2 hours ago
     
 $19 - $21 per hour
  
2-5 years experience
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AI Summary

The Claims Representative is responsible for managing a portfolio of 200-250 complex claims and handling high-volume inbound and outbound communications. They must ensure accurate documentation and real-time data entry while adhering to strict performance metrics and operational timelines.

Job Summary:
We are seeking a highly disciplined, process-driven Claims Representative to join our property, utility and auto damage recovery team. This individual contributor position is optimized for high-stamina data operators who thrive inside structured environments, navigating fast-paced software tools and handling steady transaction volumes. In this role, you will be directly responsible for evaluating, documenting, and resolving high-volume pipelines of intricate and complex claims, working closely with businesses, insurance carriers, and individual claimants to drive precise tracking and closure.

Key Responsibilities:

  • Portfolio Management: Proactively manage, track, and process an active, continuous portfolio of 200 to 250 plus intricate and complex claims following initial training.
  • Queue Execution: Handle a steady daily volume of 50 to 80 inbound and outbound phone interactions from businesses, insurance companies, and individual claimants. You will be managing difficult callers at times.
  • File Resolution: Investigate and evaluate auto/property damage claims to determine accurate coverage, loss, liability, and settlement values.
  • Real-Time Tracking: Maintain absolute accuracy by executing real-time data entry updates and concise documentation directly into proprietary claims databases and tracking platforms.
  • Metric Adherence: Maintain strict compliance with daily shift scheduling, operational files timelines, and key volume performance metrics.

 

 

Requirements & Qualifications:

  • System Stamina: Minimum 2+ years of experience navigating high-volume, data-heavy desk transactional software queues (e.g., Billing, Fintech, Claims, high-volume call centers).
  • Role Alignment: Looking for a dedicated, long-term individual contributor career track; comfortable with a stationary desk environment featuring structured performance monitoring.
  • Compliance & Resilience: Background or training in details-first compliance industries (such as Medical Billing, Coding, CNA, or corporate collections/fintech support) is highly preferred.
  • Remote Setup: Must possess a quiet, dedicated home workspace and a secure, reliable high-speed Wi-Fi connection. Computer hardware and equipment will be supplied by JNR Adjustment Company.

 

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