Customer Operations – Workers Compensation Claims

September 23, 2026

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Job Description:

Make high-volume outbound calls to investigate, bill, and maximize payments on medical claims
Investigate and resolve troubled and/or denied workers' compensation claims
Contact patient employers, insurance company representatives, attorneys, and patients
Submit bills and proper documentation to insurance companies or appropriate payers
Ensure maximized payments to hospital and medical-provider clients
Review payer information and documentation when bills are not paid correctly
Determine next steps for incorrectly paid or unpaid bills
Participate in special projects to achieve team goals and ensure client success
Attend and actively participate in 8-10 business days of on-camera training

Requirements:

Must reside in the United States within one of the listed eligible states
Employment eligibility to work in the United States
Successful completion of a background check
Working knowledge of Microsoft Office (Word, Excel, Outlook)
Technical proficiency with multiple computer screens and software applications simultaneously
Ability to maintain strong performance in a fast-paced environment with productivity metrics
Ability to remain organized while multitasking
Critical thinking and problem-solving skills
Clear and professional verbal and written communication
Full focus during scheduled work hours with productivity tracking
Active participation on camera
Ability to manage a high volume of inbound and outbound calls while maintaining accuracy and productivity standards
Private, distraction-free home work environment
Secure internet connection
Home internet speeds greater than 20 Mbps download and 10 Mbps upload
Workspace accommodating workstation equipment and related materials
Experience with Coordination of Benefits and general understanding of insurance billing are a plus, but not required

Benefits:

Incentive Plan
Comprehensive training beginning on the first day and lasting 8-10 business days
Ongoing support from teammates following training
Robust knowledgebase for continued reference
Individual performance metrics for goal setting
Computers and necessary work equipment provided
Involved management support
Remote work from home
Secure internet and home office requirements supported by provided equipment

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