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Accounts Receivable Claims Clerk

A claims analyst is responsible for reviewing and evaluating claims submitted by customers, ensuring their accuracy, eligibility, and compliance with company policies, by investigating claims, determining validity, and customer settlement (credit) amounts while maintaining detailed records and communicating with team lead for approval.

Review and evaluate customer claims submitted through various channels (e.g., online, phone, mail).

Investigate claims to determine validity and eligibility based on company policies and procedures.

Gather and analyze supporting documentation to support claim decisions.

Determine appropriate settlement (credit) amounts for valid claims.

Maintain accurate and detailed records of all claim activities in the company's database.

Communicate effectively with customers regarding the status of their claims.

Collaborate with team leads to resolve complex claims and escalate issues as needed.

Identify and report potential fraud or abuse.

Stay updated on relevant industry regulations and company policy changes.

Contribute to process improvement initiatives within the claims department.

WFH

Full Time

Average salary estimate

$60000 / YEARLY (est.)
min
max
$50000K
$70000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Accounts Receivable Claims Clerk, Remote VA

Looking for a new challenge as an Accounts Receivable Claims Clerk? Join our dynamic team in this essential role, where you'll play a crucial part in effectively managing customer claims. At our company, we foster an environment that encourages collaboration and innovation. As an Accounts Receivable Claims Clerk, you’ll be tasked with reviewing and evaluating claims submitted by customers from various channels—online, phone, or mail. You’ll dive deep into investigating these claims, determining their validity and eligibility based on our company policies. Your analytical skills will shine as you gather supporting documentation to back up claim decisions, and you’ll determine appropriate settlement amounts for valid claims with a keen eye for detail, maintaining accurate records in our database. Communication is key in this role, as you’ll keep customers updated on their claims' status and collaborate closely with team leads on more complex cases. Spotting potential fraud and contributing to process improvements will also be part of your responsibilities in our ambitious workplace. If you’re ready for a full-time WFH opportunity that offers professional growth while enhancing your skills in claims management, we want to hear from you!

Frequently Asked Questions (FAQs) for Accounts Receivable Claims Clerk Role at Remote VA
What are the main responsibilities of an Accounts Receivable Claims Clerk?

As an Accounts Receivable Claims Clerk, your key responsibilities will include reviewing and evaluating claims submitted by customers, investigating their accuracy and eligibility according to company policies, and determining valid settlement amounts. You’ll also maintain detailed records of all claim activities and communicate effectively with customers and team leads.

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What qualifications are required for the Accounts Receivable Claims Clerk position?

To be successful as an Accounts Receivable Claims Clerk, candidates typically need a high school diploma or equivalent, along with experience in finance or a related field. Strong analytical skills, attention to detail, and effective communication abilities are essential. Familiarity with claims processing and relevant industry regulations is also beneficial.

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How does teamwork play a role in the Accounts Receivable Claims Clerk position?

Teamwork is a vital aspect of the Accounts Receivable Claims Clerk role. You'll collaborate with team leads to resolve complex claims and escalate issues when needed. Effective communication and collaboration enhance the claims resolution process and ensure efficient handling of customer inquiries.

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What kind of work environment can an Accounts Receivable Claims Clerk expect?

An Accounts Receivable Claims Clerk can expect a supportive and collaborative work environment. This full-time WFH position allows for flexibility while working with a team dedicated to resolving claims efficiently and contributing to improvements in claims processing.

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What skills are essential for an Accounts Receivable Claims Clerk?

Critical skills for an Accounts Receivable Claims Clerk include strong analytical and organizational abilities, clear communication skills, attention to detail, and the capability to use software for record-keeping and claims management. Understanding of industry regulations can also give candidates an edge.

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Common Interview Questions for Accounts Receivable Claims Clerk
Can you explain your experience with claims processing?

When answering this question, focus on specific experiences you've had with claims or similar processes. Highlight your ability to review claims, analyze documentation, and communicate effectively with customers to resolve issues.

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How do you ensure accuracy when reviewing claims?

Demonstrate your attention to detail by explaining your methodical approach to reviewing claims, including double-checking all information and maintaining accurate records, which ensures compliance with company policies.

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Describe a time you identified a fraudulent claim. What steps did you take?

When discussing a specific instance of fraud you’ve encountered, be sure to detail the warning signs that raised your suspicion, how you investigated further, and the measures you took to report and address the situation.

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How do you handle a difficult customer when managing their claim?

Explain how you remain calm and professional with difficult customers. Showcase your active listening skills and how you ensure clear communication to address their concerns while maintaining company policies.

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What steps do you take when you encounter a complex claim?

Detail your approach to handling complex claims, including gathering necessary information, collaborating with team leads for insights, and employing a structured problem-solving methodology to reach a resolution.

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How do you stay updated on industry regulations and company policies?

Discuss your commitment to continuous learning. Share any resources you utilize, such as professional courses, industry news, or discussions with colleagues, to keep your knowledge current.

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What software experience do you have related to claims processing?

Be specific about the software platforms you've used, such as claims management systems or accounting software. Describe your proficiency and how these tools have helped you improve efficiency.

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Can you describe a time you contributed to process improvement?

Share a specific example where you identified a process inefficiency. Explain the changes you proposed, how you implemented them, and the positive outcomes that resulted from your initiative.

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What motivates you in your work as a claims clerk?

Discuss your passion for helping clients and ensuring accurate claims processing. Highlight your ambitions for professional growth and contribution to your team’s success.

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How do you manage multiple claims with tight deadlines?

Emphasize your time management skills and your ability to prioritize tasks effectively. Share any tools or techniques you use to track progress and ensure all claims are processed timely.

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Full-time, remote
DATE POSTED
January 13, 2025

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