Remote Claims Resolution Specialist

Embark on a Journey to Redefine the Future of Claims

Imagine being at the heart of a modern transformation where every claim resolved isn't just a transaction, but a moment of trust, assurance, and satisfaction. As a Remote Claims Resolution Specialist, you’ll play a key role in reshaping the way people experience support. With innovation, empathy, and efficiency as your tools, you’ll be part of a forward-thinking team that doesn't just process claims—we resolve challenges creatively and compassionately. If you're ready to turn complexity into clarity and routine into remarkable, this opportunity is tailored for you.

About the Role: Your Impact Starts Here

In this remote-first position, you’ll serve as a primary point of contact for policyholders navigating claims-related concerns. You won’t just answer questions or check boxes; you’ll actively investigate, interpret, and bring resolution to issues with finesse and attention to detail. Each case presents a new puzzle, and your mission is to solve it with insight, creativity, and integrity. Your success ensures peace of mind for our clients and keeps operations humming with precision.

Key Responsibilities: Bring Solutions to Life

• Evaluate incoming claims with curiosity and care, making informed decisions based on policy terms, case specifics, and client expectations.
• Communicate with claimants, peers, and third-party experts with clarity, compassion, and a touch of wit when the moment calls for it.
• Analyze documentation, identify inconsistencies, and request additional info when necessary—always with a professional yet relatable approach.
• Collaborate with cross-functional teams to ensure seamless claim journeys from start to resolution.
• Identify trends and propose enhancements to claims workflows, turning observations into innovation.
• Maintain up-to-date, accurate records and comply with all regulatory and internal standards.
• Proactively manage deadlines and follow up on open issues, ensuring no detail slips through the cracks.
• Serve as an advocate for transparency, fairness, and fast resolution across all claim types.

The Environment: Flexibility Meets Purpose

Welcome to a workspace where your home office becomes your innovation hub. As a work-from-anywhere position, you have the freedom to set your ideal work rhythm while staying deeply connected with an engaged team. Our digital culture thrives on transparent communication, mutual respect, and creative collaboration.

Daily meetings spark dialogue and fresh ideas. A playful Slack channel invites memes and milestones. Video huddles offer a space to troubleshoot complex claims or celebrate victories. Whether you're decoding policy terms or sipping coffee in bunny slippers during a Zoom call, this role lets you blend professionalism with personality.

Tools of the Trade: Your Digital Toolbox

• Claims Management Systems (e.g., Guidewire, ClaimCenter, Duck Creek)
• Virtual Communication Platforms (e.g., Zoom, Slack, Microsoft Teams)
• Documentation & Workflow Tools (e.g., Notion, Google Workspace, Trello)
• Analytics Dashboards for claim trends, processing time, and resolution metrics
• Secure Data Portals for accessing case files and sensitive information

What We Value: Qualifications That Spark Success

Must-Haves

• Minimum of 2 years in a claims processing, customer support, or insurance operations role
• Comfortable navigating digital systems and toggling between multiple platforms
• Excellent written and verbal communication skills—we appreciate clever turns of phrase and honest conversations
• Demonstrated ability to problem-solve independently while knowing when to escalate issues
• Highly organized, deadline-driven, and motivated by a job well done

Nice-to-Haves

• Experience working remotely in a fast-paced, virtual-first company
• Familiarity with regulatory standards in the insurance, healthcare, or financial sectors
• A knack for turning frustrated callers into satisfied advocates
• A bit of humor and the ability to lighten the mood when needed

Career Growth & Creative Evolution

This is more than a job; it’s a launchpad for your career in creative problem-solving, digital operations, and client advocacy. You’ll gain firsthand experience in claim lifecycle management while building the skills to grow into leadership roles or specialized paths like process design or compliance auditing. Internal mentorship programs and peer-led workshops ensure you’re constantly learning, adapting, and thriving.

Think of this role as a choose-your-own-adventure book. You bring the curiosity and dedication—we’ll provide the chapters.

Compensation & Perks

Annual Salary: $54,246

• 💻 Remote work stipend for internet and tech gear
• 🌴 Flexible paid time off with strong encouragement to recharge often
• 🏥 Health benefits, including wellness resources and telehealth access
• 🧠 Learning & development budget for personal growth
• 🎉 Virtual team events, trivia nights, and surprise gift mailers

Why You?

Because you don't just complete tasks; you bring stories to life through empathy, diligence, and imagination. You see claims not as numbers, but as narratives that deserve thoughtful and timely resolution. Your ability to stay curious, work smart, and connect with humans on the other end of a screen is what sets you apart.

Ready to Rewrite the Claims Experience?

Apply today and be the spark that changes how people feel about customer support. Make your remote office the command center for empathy, logic, and innovation. Your next big career moment is just a click away.

Join us. Resolve brilliantly. Work remotely. Make an impact.