Job Summary

ClaimEase Services is seeking a detail-oriented and reliable Remote Customer Claims Processor to join our fast-growing team. In this role, you will be responsible for reviewing, validating, and processing customer claims with accuracy, timeliness, and professionalism. This position is ideal for individuals who excel in administrative work, enjoy problem-solving, and are committed to delivering exceptional service in a remote work environment. You will work closely with cross-functional teams to ensure claims are completed according to company policies, regulatory standards, and customer expectations.

Key Responsibilities

• Review, verify, and process incoming claims with a high level of accuracy and attention to detail.

• Gather and validate required documentation to support claim decisions.

• Communicate with customers to obtain missing information or provide claim updates.

• Analyze claim data and apply company guidelines to make informed decisions.

• Enter claim details into internal systems and maintain accurate records.

• Collaborate with supervisors and team members to resolve complex or escalated cases.

• Ensure compliance with company policies, industry regulations, and confidentiality standards.

• Meet performance metrics related to claim turnaround time, quality, and customer satisfaction.

• Identify trends or discrepancies and flag potential fraud when necessary.

• Provide excellent service by responding to inquiries in a clear, professional, and timely manner.

Required Skills and Qualifications

• Strong written and verbal communication skills.

• High level of accuracy, organization, and attention to detail.

• Ability to analyze information and make logical decisions.

• Proficiency with basic computer applications and data entry systems.

• Capability to manage confidential and sensitive information responsibly.

• Comfortable working independently in a remote environment.

• Strong time-management and multitasking abilities.

• Problem-solving mindset with a customer-focused approach.

Experience

• Previous experience in claims processing, customer service, administration, insurance, or related fields is preferred.

• Prior remote work experience is an advantage but not required.

• Experience handling sensitive data or transactional work is beneficial.

Working Hours

• Flexible remote schedule with the ability to work full-time or part-time, depending on business needs.

• Must be available during core support hours for team communication and daily tasks.

• Occasional overtime may be required during peak claim periods.

Knowledge, Skills, and Abilities

• Strong foundational understanding of customer service principles.

• Ability to follow detailed procedures and maintain consistency in claim evaluations.

• Familiarity with digital communication tools such as email, CRM platforms, and ticketing systems.

• Ability to remain calm and professional when dealing with challenging or emotional customer situations.

• Quick learner with the ability to adapt to new software, guidelines, and workflows.

Benefits

• 100% remote work environment.

• Competitive pay structure based on performance and experience.

• Opportunities for professional development and advancement within the company.

• Supportive team culture with regular training and skill-building sessions.

• Work-life balance supported through flexible scheduling.

Why Join ClaimEase Services?

At ClaimEase Services, we believe in empowering our employees with the tools, flexibility, and support needed to succeed. As part of our team, you will enjoy a collaborative yet independent working environment where your contributions directly impact customer satisfaction and operational efficiency. We value professionalism, integrity, and continuous improvement — and we welcome team members who share these values. If you are looking for a stable remote role with room to grow, this is the perfect opportunity.

How to Apply

Interested candidates should submit their updated resume along with a brief cover letter highlighting relevant experience and why they are a strong fit for the role. Applications may be sent through our official career portal or via email as indicated in the job posting. Qualified applicants will be contacted for the next steps in the selection process.