Remote Claims Administrator

Job Description

Job Description

We are seeking meticulous and detail-oriented Claims Administrators to support our Stop Loss & Health Claims Services. In this role, you will be a critical part of our Data Intake Team, responsible for manually entering key data points from various reports into designated templates with a high level of precision. Because this role directly impacts financial outputs, you will be subject to regular quality assurance audits and will be expected to maintain strict quality standards.NOTE: Must live within a commutable distance to one of our offices, Wellesley, MA; Hartford, CT; Portland, OR; Baltimore, MD; or Kansas City, MO. You will be in office for 2 days/month!

salary: $19.5 - $20 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School

Responsibilities

• Manually enter data points into designated templates with a high level of accuracy and minimal errors.

• Intake and process approximately 20 claim submissions per day from reports and documentation.

• Identify data discrepancies, issues, or irregularities and appropriately escalate them to upper levels within the Data Intake Team.

• Maintain a basic working knowledge of data intake processes, internal policies, and compliance procedures.

• Participate in regular quality assurance audits to ensure your output matches team standards.

Requirements

• You should have preferred prior experience working with insurance claims and medical coding.

• You must have proficiency in basic office software, specifically Microsoft Word and Excel.

• You need to be a quick learner who can rapidly adapt to internal claims systems and databases.

• You must have the ability to work independently in a remote setup while remaining compliant with the twice-monthly consecutive in-office requirement.

• You must be able to accommodate mandatory overtime during peak periods, which may include up to 10 hours per week outside of core hours or on weekends.

Performance Metrics

• By the three-month mark, you will be expected to achieve and maintain approximately 95% processing accuracy.

• By the three-month mark, you will also be expected to reach a 99.7% threshold for financial accuracy.

Skills

• Claims
• Claims Processing

Qualifications
• Years of experience: 2 years
• Experience level: Entry Level

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact View email address on ziprecruiter.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.