{"schemaVersion":"jobsearcher.job.v1","id":"e760d8cb23263491c2dc0bc2","url":"https://jobsearcher.com/jobs/e760d8cb23263491c2dc0bc2","canonicalUrl":"https://jobsearcher.com/jobs/e760d8cb23263491c2dc0bc2","title":"Claims Associate - Consumer","description":"Job Description\n\nClaims Associate - Consumer\r\nRemote\r\n3 Months - Contract\r\nNotes:\r\nLooking for Property & Casualty license\r\nMust be bilingual English and Portuguese or Spanish\r\nJob Description\r\nPRIMARY PURPOSE:To provide high-quality service to both internal and external customers, delivering an easy and efficient customer experience for routine lost time.ESSENTIAL FUNCTIONS and RESPONSIBILITIES\r\nProcesses incoming calls, faxes and voicemails from claimants, providers, clients, attorneys, etc., resolving their claims related questions and issues in accordance with designed guidelines and policies.\r\nCommunicates claims status and current claim activity with client and appropriate medical contact; responds to inquiries about jurisdiction- and claim-specific issues.\r\nEnters data into claims system(s) and ensures claim files are properly documented, and claims coding is correct.\r\nCoordinates claimant address updates or changes with internal departments. Provides referrals to legal, utilization review, pharmacy, and Special Investigations Unit (SIU) as appropriate and coordinates independent medical examinations.ADDITIONAL FUNCTIONS and RESPONSIBILITIES\r\nPerforms other duties as assigned.\r\nSupports the organization's quality program(s).Education & Licensing\r\nHigh school diploma or GED required.\r\nAssociate's degree from an accredited college or university preferred.\r\nProfessional certification as applicable to line of business preferred.Experience\r\nTwo (2) years of administrative and/or customer service experience or equivalent combination of education and experience required.Skills & Knowledge\r\nExcellent oral and written communication skills\r\nPC literate, including Microsoft Office products\r\nStrong investigation and organizational skills\r\nGood interpersonal skills\r\nAbility to work in a team environment\r\nAbility to meet or exceed Performance Competencies","company":"Objectwin Technology","rawCompany":"objectwin technology","city":"Independence","state":"OH","isRemote":false,"isActive":false,"createdAt":"2026-11-03T01:56:23.851Z","occupations":[{"code":"43-9041.00","title":"Insurance Claims and Policy Processing Clerks","slug":"insurance-claims-and-policy-processing-clerks"},{"code":"13-1031.00","title":"Claims Adjusters, Examiners, and Investigators","slug":"claims-adjusters-examiners-and-investigators"},{"code":"43-4051.00","title":"Customer Service Representatives","slug":"customer-service-representatives"}],"industries":[{"code":"524298","title":"All Other Insurance Related Activities","slug":"all-other-insurance-related-activities"},{"code":"524291","title":"Claims Adjusting","slug":"claims-adjusting"},{"code":"524292","title":"Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds","slug":"pharmacy-benefit-management-and-other-third-party-administration-of-insurance-and-pension-funds"}],"jobPosting":{"@context":"https://schema.org","@type":"JobPosting","title":"Claims Associate - Consumer","description":"Job Description\n\nClaims Associate - Consumer\r\nRemote\r\n3 Months - Contract\r\nNotes:\r\nLooking for Property & Casualty license\r\nMust be bilingual English and Portuguese or Spanish\r\nJob Description\r\nPRIMARY PURPOSE:To provide high-quality service to both internal and external customers, delivering an easy and efficient customer experience for routine lost time.ESSENTIAL FUNCTIONS and RESPONSIBILITIES\r\nProcesses incoming calls, faxes and voicemails from claimants, providers, clients, attorneys, etc., resolving their claims related questions and issues in accordance with designed guidelines and policies.\r\nCommunicates claims status and current claim activity with client and appropriate medical contact; responds to inquiries about jurisdiction- and claim-specific issues.\r\nEnters data into claims system(s) and ensures claim files are properly documented, and claims coding is correct.\r\nCoordinates claimant address updates or changes with internal departments. Provides referrals to legal, utilization review, pharmacy, and Special Investigations Unit (SIU) as appropriate and coordinates independent medical examinations.ADDITIONAL FUNCTIONS and RESPONSIBILITIES\r\nPerforms other duties as assigned.\r\nSupports the organization's quality program(s).Education & Licensing\r\nHigh school diploma or GED required.\r\nAssociate's degree from an accredited college or university preferred.\r\nProfessional certification as applicable to line of business preferred.Experience\r\nTwo (2) years of administrative and/or customer service experience or equivalent combination of education and experience required.Skills & Knowledge\r\nExcellent oral and written communication skills\r\nPC literate, including Microsoft Office products\r\nStrong investigation and organizational skills\r\nGood interpersonal skills\r\nAbility to work in a team environment\r\nAbility to meet or exceed Performance Competencies","datePosted":"2026-11-03T01:56:23.851Z","dateModified":"2026-11-03T01:56:23.851Z","hiringOrganization":{"@type":"Organization","name":"Objectwin Technology","sameAs":"https://jobsearcher.com"},"jobLocation":{"@type":"Place","address":{"@type":"PostalAddress","addressLocality":"Independence","addressRegion":"OH","addressCountry":"US"}},"identifier":{"@type":"PropertyValue","name":"JobSearcher","value":"e760d8cb23263491c2dc0bc2"},"url":"https://jobsearcher.com/jobs/e760d8cb23263491c2dc0bc2"}}