Claims Liability Adjuster (Remote)

Direct message the job poster from KORAK GLOBAL HEALTHCARE SERVICES LLC
Administrative & Recruitment Specialist | Virtual Assistant | Talent Acquisition | Calendar Management | Remote Support Expert Overview
We are seeking an experienced and detail-oriented Claims Adjuster to join our remote team on a 1-year full-time contract . In this role, you will investigate, evaluate, and resolve claims in accordance with company guidelines, authority limits, and industry best practices. Your primary goal will be to ensure fair and timely settlements while maintaining high standards of accuracy, professionalism, and customer service.
While this is a fully remote position, candidates who reside in the Washington, DC metro area (including Maryland and Virginia) are strongly preferred to align with team collaboration and time zone needs.
Investigate and adjust claims : Proactively handle standard and complex claims while adhering to authority limits, policies, and procedures.
Accurately document claims activity, secure data, and ensure compliance with audit protocols.
Settle claims : Approve or deny claims with careful consideration and sound judgment.
Provide audit summaries and contribute to process improvement through data insights.
Attend training sessions to enhance your claims adjustment knowledge and skills.
Duration: 1-Year Full-Time Contract
Schedule: Monday to Friday, standard business hours
Work Environment: 100% Remote - All equipment provided ( Washington DC, Maryland or Virginia applicants preferred to align with team collaboration and time zone needs.)
Education: High School Diploma or GED (required)
Experience: Minimum 5 years of hands-on claims adjustment experience
Solid understanding of claims systems, policies, and procedures
Proficient in Microsoft Excel, Outlook, Adobe Acrobat, and related tools
Comfortable interacting with challenging customers and providing high-quality service
Familiarity with Inter-Plan Teleprocessing System (ITS) claims
Proven ability to analyze and solve diverse and complex claim issues
100% Remote: Work from the comfort of your home
Stability: Full-time hours with a defined 1-year contract
Training Provided: If you’re a seasoned claims adjuster looking for a fully remote, contract-based role with a respected organization, we encourage you to apply now!
Job Types: Full-time, Contract
Pay: $22.00 - $24.00 per hour
8 hour shift
Employment type Employment type Full-time
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