Job Summary

HR Service Jobs is seeking a detail-oriented and dependable Insurance Claims Processor to join our remote operations team. In this role, you will be responsible for evaluating insurance claims, verifying customer information, reviewing policy coverage, and ensuring timely and accurate claim resolution. This is a fully remote position designed for individuals who excel at analysis, documentation, and customer communication in a structured environment. If you enjoy working independently and contributing to a high-performance virtual team, this opportunity is ideal for you.

Key Responsibilities

• Review, analyze, and process insurance claims in accordance with company guidelines and policy terms.

• Verify customer information, documentation, and eligibility to ensure accurate claim adjudication.

• Communicate with clients, agents, and internal teams to obtain missing details or clarify policy-related questions.

• Enter, update, and maintain claim records in the company system with high accuracy.

• Identify incomplete or inconsistent claim submissions and follow up to resolve discrepancies.

• Ensure claim decisions align with regulatory standards and organizational service-level metrics.

• Prepare reports on claim status, trends, and processing timelines when required.

• Provide excellent customer service while handling claim inquiries professionally and promptly.

Required Skills and Qualifications

• Strong understanding of administrative processes and documentation handling.

• Excellent verbal and written communication skills.

• Ability to interpret policies, guidelines, and coverage-related information.

• High attention to detail with strong analytical and problem-solving abilities.

• Proficiency in MS Office Suite and experience with data entry or CRM tools.

• Strong organizational and time-management skills to handle high-volume workloads.

• Ability to maintain confidentiality and follow compliance standards.

Experience

• Minimum 1–3 years of experience in insurance processing, claims handling, customer service, data entry, or related administrative roles.

• Experience in health, auto, or general insurance claims processing is an added advantage.

• Fresh graduates with strong analytical skills may also apply.

Working Hours

• Flexible remote working hours, typically within standard business hours.

• Candidates must be available for scheduled virtual meetings, training sessions, and team check-ins.

• Occasional weekend or extended hours may be required during high-volume periods.

Knowledge, Skills, and Abilities

• Solid knowledge of claim documentation processes and policy terminology.

• Ability to work independently with minimal supervision in a remote environment.

• Familiarity with digital workflow tools, claim software, and online communication platforms.

• Strong multitasking capability and the ability to meet strict deadlines.

• Customer-focused mindset with a proactive approach to resolving issues.

Benefits

• 100% remote work with a flexible schedule.

• Competitive salary with performance-based incentives.

• Paid virtual training and continuous skill-development opportunities.

• Opportunities for long-term career growth in the insurance and customer service sector.

• Supportive virtual work culture with access to HR assistance and mentorship.

Why Join HR Service Jobs

At HR Service Jobs, we prioritize professional development, work-life balance, and a supportive work environment. Joining our team means becoming part of a forward-thinking organization that values dedication, accuracy, and service quality. You will have the chance to contribute to improving customer experiences while growing your skills in a stable and high-demand industry.

How to Apply

Interested candidates can submit their updated resume along with a short cover note explaining their interest in the role. Applications should be submitted through the HR Service Jobs online portal or emailed directly to the recruitment team. Shortlisted applicants will be contacted for a virtual interview and assessment.