Claims Specialist I

Claims Specialist I

Category

CorLife

Job Location

REMOTE, US

Tracking Code

15479-128

Position Type

Full-Time/Regular

At Numotion, we're on a mission to improve the lives of people with disabilities. As North America's largest provider of mobility products and services, we deliver personalized solutions from manual and power wheelchairs to medical supplies and other assistive technologies that support health, independence, and everyday participation. We're committed to a workforce of diverse backgrounds and experiences and to an inclusive environment shaped by open dialogue, attentive listening, and tangible, ongoing action.

JOB PURPOSE:

The Claims Specialist I supports the administration and coordination of workers' compensation and related healthcare claims by processing assigned activities, maintaining accurate documentation, and providing responsive customer service. This role focuses on learning claims workflows, supporting resolution efforts, and escalating complex issues while ensuring compliance with organizational policies and regulatory requirements.

The pay range for this position is $21.63-$28.13 Hourly. It is not typical for an individual to be hired at or near the top of the pay range and compensation decisions are dependent on the facts and circumstances of each case. The specific compensation offered to a candidate may be influenced by a variety of factors including skills, qualifications, experience and location.

KEY RESPONSIBILITIES:

• Receive, manage, and process client orders and workers' compensation claims, ensuring accuracy, timeliness, and compliance.
• Receive, review, and process assigned client orders and workers' compensation claims for accuracy, completeness, and timeliness.
• Perform initial claim setup, documentation, and routine follow-up activities under established procedures.
• Review provider and payor determinations and escalate discrepancies, denials, or complex issues to senior team members or supervisors.
• Coordinate collection and validation of invoices and supporting documentation prior to routing for internal billing operations.
• Communicate professionally with clients, providers, claims professionals, and internal partners to obtain information and provide status updates.
• Maintain accurate claim records, notes, and supporting documentation in designated systems.
• Follow established workflows to prioritize tasks and meet service level expectations.
• Provide courteous, solutions focused customer service to internal and external stakeholders.
• Utilize Numotion Leadership Principles to perform job with integrity, compliance, and values consistent with Numotion's mission.
• Adhere to employee or customer confidentiality and comply with Numotion's policies and federal regulations.
• Provide excellent customer service for all internal and external customers of the operations at all times. Provide solutions for customer concerns and continually focus on customer service as our top priority.
• The above duties and responsibilities are not an all-inclusive list but rather a general representation of the duties and responsibilities associated with this position. The duties and responsibilities will be subject to change based on organizational needs and/or as deemed necessary by management.

REQUIRED QUALIFICATIONS, SKILLS, AND EXPERIENCE:

• High school diploma or GED.
• 0-2 years of experience in customer service, claims processing, healthcare administration, or a related field.
• Proficiency in Microsoft Office Suite.
• Strong attention to detail, organization, and time management skills.
• Effective written and verbal communication skills.

PREFERRED QUALIFICATIONS, SKILLS, AND EXPERIENCE:

• Associate or bachelor''s Degree in a healthcare or business-related discipline.
• Exposure to healthcare, workers' compensation, or insurance environments.

PHYSICAL WORK REQUIREMENTS:

The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

§ Frequent use of hands, wrists, and fingers associated with computer equipment.

§ Prolonged periods of time working at a desk and/or on a computer.

§ Occasionally move and reach with arms and hands.

§ Ability to communicate effectively.

§ Ability to work overtime as needed.

§ Ability to work a standard 40‑hour workweek and overtime as required based on business needs.

At Numotion, we offer competitive compensation packages, including medical, dental and vision insurance, short-term and long-term disability, a 401k, and life insurance. Numotion is an equal opportunity employer. We strive for a workplace that reflects the communities we serve and do not tolerate discrimination against our employees, customers, and partners regardless of ethnicity, disability, gender identity, sexual orientation, religion, age, citizenship, marital or veteran status. Numotion is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.