Assistant Claims Examiner
Assistant Claims Examiner
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Job Description
Were seeking a Claims Processor to join our clients team. This role involves handling straightforward medical insurance claims to ensure accuracy and timely resolution. If you have a keen eye for detail strong communication skills and are looking to grow in the insurance industry we want to hear from you.
WORKSITE: Remote- Texas Resident
WORK SCHEDULE: Monday - Friday
PAY RATE: $16.50 per hour
WHAT WE OFFER:
Paid sick leave based on state regulations after 90 days of employment
Medical dental and vision coverage after a waiting period (60% paid by Fortuna)
Free TeleMedicine and Mental Health support for all employees and their families
Additional voluntary benefits:
Group Life Insurance
Accidental Insurance
Critical Care
Short-Term Disability
WHAT YOULL DO:
Enter insurance claims received electronically or in written form
Answer incoming customer calls and provide updates regarding claim processing
Document claims and associated history
Validate basic claims including policyholder details effective dates and claim eligibility
Contact claimants for corrections updates or completions of forms
Gather additional information from appropriate sources when necessary
Verify claimant or beneficiary information
Identify payment amounts and obtain necessary management approvals
Process approved claim payments
Communicate claim status and resolution to claimants
Escalate any claimant concerns when appropriate
WHAT YOULL BRING:
High school diploma or GED
0 years of claims experience (entry-level welcome)
Familiarity with insurance and/or medical terminology
Understanding of claims processing procedures and documentation
Basic analytical and problem-solving skills
Strong communication and interpersonal abilities
Proficiency in data entry
Ability to maintain confidentiality
Team-oriented mindset
Comfortable working in an office environment
Fortuna operates as a staffing agency that sources screens and presents potential candidates for employment opportunities on behalf of our clients.
Founded in 2012 by practicing professionals with over 50 years of combined experience Fortuna is headquartered in McClellan California with additional offices in Los Angeles New York and satellite locations in the Philippines and Israel. We are proud members of several California service agreements including CMAS ITMSA (Tier 2) CalPERS SpringFed Pool and vendor pools for multiple municipalities and corporations.
Employment Type
Full-Time
