Claims Representative-Remote

Job Description

Job Description

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.