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Roles
Compensation
USD 37000 - 43680
Salary range $37,000-$43,680. Benefits include medical, dental, vision, prescription drug coverage, health care flexible spending, dependent care flexible spending, Aflac supplemental policies (Accident, Cancer, Critical Illness, Hospital Indemnity), 401(k), annual bonuses, opportunity to purchase company stock, 11 paid holidays, up to 20 days PTO, and (if eligible) state-mandated sick leave and other leaves of absence.
- Salary period
- yearly
- Bonus
- Annual bonuses
Benefits
- Medical, dental, and vision coverage
- Prescription drug coverage
- Health care flexible spending
- Dependent care flexible spending
- Aflac supplemental policies (Accident, Cancer, Critical Illness and Hospital Indemnity) offered at no costs to employee
- 401(k) plans
- Annual bonuses
- Opportunity to purchase company stock
- 11 paid holidays
- Up to 20 days PTO to be used for any reason
- State-mandated sick leave (if eligible)
- Other leaves of absence (if eligible)
Tech stack
Required
Nice to have
Location
Columbus, GA, US
Work setup
- Employment
- full-time
- Level
- Mid-level
- Remote policy
- Remote role expected to work from home within the continental US; occasions may require coming to the office based on business need with advance communication.
- Remote scope
- country-limited
Role details
Responsibilities
- Reviews and processes Wellness, Accident and Vision insurance claims based on information submitted by policyholders.
- Determines the nature and validity of claims by reviewing policy status, patient eligibility, and supporting medical and other documentation.
- Keys claims data while interpreting coding and medical terminology in relation to diagnoses and procedures.
- Uses multiple core administration databases, systems and subsystems to process and transmit claims for payment or further investigation.
- Provides prompt customer service to policyholders, providers, and other internal company entities regarding claims.
- Documents phone calls in the system and follows up on issues if needed.
- Contacts insured or other appropriate persons to verify accuracy and completeness of information on claims forms and related documents.
- Responds to inquiries from policyholders, providers, and agents regarding claim status and policy provisions.
- Provides back-up coverage for other teams as required.
- Maintains databases and prepares and extracts information using software systems.
- Performs various clerical duties such as filing, photocopying, typing, maintaining databases, and preparing and extracting information.
- Performs other related duties as required.
Requirements
- Knowledge of principles and processes for providing customer and personal services, including needs assessment, meeting quality standards, and evaluating customer satisfaction.
- Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, and other office procedures and terminology.
- Skill in giving full attention to what other people are saying, understanding points being made, and asking questions as appropriate.
- Skill in understanding the implications of new information for current and future problem solving and decision-making.
- Skill in using mathematics to solve problems.
- Skill in selecting and using training/instructional methods and procedures when learning new policies, procedures, concepts, or products.
- Skill in managing one’s own time and actively looking for ways to help people.
- 1 year of work experience.
- Education: High School Diploma or Equivalent.
- Experience and proficiency using Microsoft Office Suite software.
- Fluency in Spanish with the ability to translate documents (if applicable to this position).
Application
Please mention the word **FAITHFULLY** and tag RMTM4LjIwMS4xMjYuMTgx when applying to show you read the job post completely (#RMTM4LjIwMS4xMjYuMTgx).
- Deadline
- June 29, 2026
- Portfolio
- not required
- GitHub
- not required
- Cover letter
- unclear
- Apply flow
- external
Company context
Develop and empower people, cultivate relationships, give back to the community, and celebrate every success; business is about being there for people in need.
- Product
- Wellness, Accident and Vision insurance claims processing
- Industry
- Voluntary insurance products
Description
Claims Specialist (remote role). Under immediate supervision and in accordance with established policies and procedures, reviews and processes Wellness, Accident and Vision insurance claims based on information submitted by policyholders; determines the nature and validity of claims by reviewing policy status, patient eligibility, and supporting medical and other documentation. Keys claims data while interpreting coding and medical terminology in relation to diagnoses and procedures; uses multiple core administration databases, systems and subsystems to process and transmit claims for payment or further investigation. Provides prompt customer service to policyholders, providers, and internal company entities regarding claims; documents phone calls in the system and follows up on issues; contacts insured or other appropriate persons to verify accuracy and completeness of information; responds to inquiries regarding claim status and policy provisions. Provides back-up coverage for other teams as required; maintains databases and prepares and extracts information using software systems; performs clerical duties such as filing, photocopying, typing, maintaining databases, and preparing and extracting information. Performs other related duties as required.
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