Claims Investigator

The Claims Investigator is responsible for insurance claims, working directly with U.S.-based insurance companies. This position requires patience and an investigative mindset to track down issues and identify solutions. The ideal candidate is eager to learn new skills in the billing department.

Position Summary:

The Claims Investigator is responsible for assisting with the resolution of missing or delayed insurance claims by working directly with U.S.-based insurance companies. This position requires patience, strong communication skills, and an investigative mindset to track down issues and identify solutions. The ideal candidate enjoys problem-solving, has an eye for detail, and is eager to learn new skills in the billing department, including insurance eligibility and medical coding.

Primary Responsibilities

• Research and investigate missing or delayed insurance claims.
• Communicate with insurance companies by phone and email to gather claim status updates.
• Document findings clearly and report unresolved issues to the billing team.
• Track claim progress and follow up until resolution.
• Identify common patterns in claim delays or errors.
• Assist with billing functions such as insurance eligibility verification and basic coding tasks.
• Support the billing department with other administrative tasks as needed

Knowledge, Skills, and Abilities

• Strong problem-solving and investigative skills; enjoys “puzzle-solving” work.
• Patience and persistence when handling repetitive tasks and long call times.
• Effective verbal and written communication skills.
• Ability to stay organized and manage multiple open claim investigations at once.
• Attention to detail when documenting claim information.
• Willingness to learn medical billing processes, insurance eligibility, and medical coding.
• Ability to work independently and as part of a team in a fast-paced environment.
• Familiarity with EMR systems and billing software a plus (training provided).

Qualifications

• High School Diploma required.
• 1–2 years of prior experience in customer service, call center, or medical office preferred but not required.
• Strong work ethic and commitment to accuracy.
• Reputation for being organized, reliable, and punctual.

Compensation

• Entry level: 500 JMD/hr.
• Bonuses available based on performance and reliability.

Benefits

• Health Insurance
• Vision Insurance
• Dental Insurance
• Life Insurance