Insurance Claims Specialist

About The Role: This role exists to ensure claims are reviewed, verified, and processed accurately and on time. The work is primarily asynchronous, with most coordination happening through written updates. The team is distributed across multiple countries. Structured processes guide daily work, and precision is expected in every claim reviewed. The person in this role operates with a high degree of autonomy once trained on our procedures.

What You'll Do: Review submitted claims for completeness, accuracy, and compliance with regulations. Verify patient eligibility and coverage details before processing each claim. Apply correct CPT and ICD-10 codes to validate medical necessity and billing accuracy. Manage claim status and documentation within claim management and submission systems. Identify discrepancies or errors and resolve them according to established procedures.

What We're Looking For: Experience with claims processing in a healthcare or insurance setting. Working knowledge of relevant insurance regulations and compliance standards. Strong attention to detail with a low tolerance for errors. Working knowledge of medical terminology and clinical documentation. Experience with CPT and ICD-10 coding. Strong written English — our company works in English.