Remote Claims Operations Coordinator

Role Summary

In a tech-forward landscape where agility meets accountability, the Remote Claims Operations Coordinator plays a vital role in modernizing claims processing systems. This position suits professionals who excel in a fast-paced, virtual-first environment and is eager to support end-to-end claims coordination using digital tools and real-time communication. With an emphasis on accuracy, automation, and transparency, you’ll help build scalable workflows and contribute to a culture of continuous improvement. Annual salary: $64,697.

Core Responsibilities

Managing the Digital Claims Workflow

• Oversee all incoming digital claims using cloud-based claims systems.
• Route tasks efficiently through AI-enhanced triaging tools and monitor activity via centralized dashboards.

Verifying Data and Ensuring Accuracy

• Perform data validation using real-time cross-referencing against internal and third-party databases.
• Utilize audit logs and automated compliance checkers to uphold processing integrity.

Generating Insights and Operational Reports

• Build and interpret data dashboards using tools like Tableau and Power BI.
• Provide analytical input to enhance claims efficiency and reduce turnaround time.

Supporting Cross-Functional Communication

• Utilize remote CRM platforms to communicate with stakeholders and maintain up-to-date records.
• Maintain clear claims progress documentation and real-time updates to customer-facing portals.

Technological Framework

Digital Claims Systems

• Engage with solutions such as Guidewire, Xactimate, and ClaimCenter to manage digital workflows.
• Leverage platform APIs to improve integrations with billing, customer service, and compliance systems.

Automation and Intelligence Tools

• Deploy machine learning algorithms for claims categorization and fraud detection.
• Utilize low-code automation platforms, such as Zapier and Make, to streamline repetitive processes.

Collaboration and Productivity Ecosystem

• Operate in cloud-first environments like Google Workspace or Microsoft 365.
• Track tasks and team workflows through platforms such as Trello, Asana, or Jira.

Work Culture and Environment

Remote-First Workplace

• Enjoy complete flexibility while contributing to a high-accountability, output-oriented environment.
• Participate in daily check-ins, weekly syncs, and asynchronous project updates.

Culture of Tech-Enabled Growth

• Collaborate in a culture that champions innovation, evidenced by a 40% efficiency increase via process automation in the past year.
• Participate in pilot programs for the early adoption of AI-based risk profiling tools.

Real Impact Metrics

• Teams have improved claims cycle time by 28% in the last fiscal year.
• Employee-led process enhancements result in 5+ implemented changes per quarter.

Candidate Requirements

Experience

• At least 3 years of experience in claims, insurance, or digital operations roles.
• Proficiency in remote-first work and familiarity with cloud-driven case handling systems.

Technical Skills

• Strong understanding of digital claims workflows, remote document verification, and online compliance procedures.
• Data literacy with experience in report building, analytics, or data QA.

Core Competencies

• An analytical mindset with the ability to break down complex claims issues.
• Exceptional written communication and problem-solving skills.
• Self-motivated and tech-curious, with the ability to adapt to evolving software.

Preferred Qualifications and Skills

Certifications

• Associate in Claims (AIC) or equivalent preferred.
• Data privacy or insurance operations certifications are a plus.

Tech Fluency

• Experience with API integrations, data extraction tools, or intelligent document processing.
• Familiarity with AI tools for sentiment analysis or claims trend detection.

Growth and Development Opportunities

Professional Growth

• Access ongoing training in automation, remote collaboration, and data security.
• Work on cross-functional digital transformation initiatives.

Leadership Pathways

• Move into Senior Claims Coordinator or Digital Operations roles.
• Lead future claims automation and process innovation projects.

Why Join Us

This role gives you the power to lead modernization in an industry ripe for innovation. You’ll have a direct influence on shaping how claims are managed in the digital age, all from the comfort of your preferred remote workspace. With a forward-thinking team, impactful KPIs, and a high-tech toolkit, you’re set up for meaningful success and career momentum.

Your Next Step

Ready to revolutionize the future of remote claims processing? Apply now and join a dynamic team where innovation and operational excellence converge. Let's build a smarter claims experience together.