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TekSystems is currently hiring for several FULLY REMOTE Medical Claims Associates, these positions can sit anywhere that is within the DMV area (EST Time Zone!)

MUST HAVE: Any medical claims, medical billing, or medical data entry experience OR something similar within the healthcare field with some understanding of claims.

Description

Reviewing Claims Documentation

Examine submitted claims for completeness, accuracy, and compliance with policy terms.

Verify supporting documents such as medical records, police reports, or receipts.

Determining Claim Validity

Assess whether the claim meets the criteria for approval based on policy coverage.

Investigate potential fraud or discrepancies.

Calculating Benefit Amounts

Determine the appropriate payout based on policy limits and deductibles.

Ensure calculations are accurate and justified.

Communicating with Stakeholders

Contact claimants, healthcare providers, or other parties for additional information.

Provide updates and explanations regarding claim decisions.

Maintaining Records

Document all actions taken during the claim review process.

Ensure records are organized and compliant with regulatory standards.

Collaborating with Other Departments

Work with adjusters, underwriters, and legal teams when needed.

Refer complex cases for further investigation or legal review.

Staying Current on Policies and Regulations

Keep up-to-date with changes in insurance laws, company policies, and industry standards.

Additional Skills & Qualifications

o Ability to communicate effectively and professionally with personnel, in both written and verbal form.

o Must possess a strong attention to detail and an interest in preventing errors.

o Ability to operate a personal computer (PC) and other office equipment (e.g., copy machine, fax machine, printer, calculator, etc.) as well as possess excellent keyboarding skills.

o Demonstrate ability to be dependable and professional.

o Demonstrate intrinsic initiative and time management skills.

o Must possess a strong commitment to teamwork and an ability to foster and inclusive culture of diversity by working well and collaborating with others as needed.

o Ability to accept feedback, learn, and adapt from guidance to be successful.

o Ability to adapt to consistent changing priorities and keeping daily responsibilities on task.

o Ability to manage workload and ensure all tasks are completed within established timeframes.

o Must be willing and able to work possible mandatory overtime as needed based on business needs.

o Must be able to meet quality, productivity, and behavior expectations.

o Must possess basic reading and arithmetic skills (reading and math comprehension).

Pay and Benefits

The pay range for this position is $17.00 - $17.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Aug 6, 2025.

h4>About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.