{"id":125633,"date":"2026-05-06T20:38:29","date_gmt":"2026-05-06T20:38:29","guid":{"rendered":"https:\/\/bhsg.com\/jobs\/job\/a101142rdu_1778099908-remote-claims-specialist-durham-north-carolina\/"},"modified":"2026-05-06T22:21:54","modified_gmt":"2026-05-06T22:21:54","slug":"a101142rdu_1778099908-remote-claims-specialist-durham-north-carolina","status":"publish","type":"job_listing","link":"https:\/\/bhsg.com\/jobs\/job\/a101142rdu_1778099908-remote-claims-specialist-durham-north-carolina\/","title":{"rendered":"Remote Claims Specialist"},"content":{"rendered":"<h4><strong><a id=\"myCustomID\" href=\"https:\/\/jobs.beaconhillstaffing.com\/jobs\/job\/A101142RDU_1778099908\">To Apply for this Job Click Here<\/a><\/strong><\/h4>\n<h4 class=\"blue\">JOB DESCRIPTION<\/h4>\n<ul>\n<li>Process, adjust or update various moderate to complex claims payments and payment errors for any business segment and\/or claims-provider type<\/li>\n<li>Respond promptly and accurately to inquiries from Customer Service Professionals, subscribers, providers, physicians and other insurance carriers regarding claims payments.<\/li>\n<li>Meet or exceed established quality and performance standards<\/li>\n<li>Determine suspended claim resolution methods by reviewing benefit eligibility, claims history and other information<\/li>\n<li>Escalate claims requiring specialized resolution to subject matter experts based on department policies and guidelines to ensure the resolution<\/li>\n<li>Understand business requirement for the customer and provider segments with tailored solutions to their needs<\/li>\n<li>Identify system issues by documenting the issue, recommend potential solution and refer appropriate technical staff<\/li>\n<li>Work with designated Provider Services specialists to deliver services tailored to the provider services<\/li>\n<li>Review claims for possible &#8220;fraud and abuse&#8221; and send to Special Investigations Unit for additional investigation<\/li>\n<li>Use continuous improvement and knowledge of claims to drive efficiency and production gains; share best practices<\/li>\n<li>Coordinate with other insurance carriers and Medicare to determine payment liability<\/li>\n<li>Represent Claims interests on divisional or enterprise project teams<\/li>\n<\/ul>\n<p><strong>Hiring Requirements<\/strong><\/p>\n<p>* High school diploma or GED<\/p>\n<p>* 3+ years of experience in related field.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/counter.adcourier.com\/YWRtaW5yZHUuNjUzNTguMTI1ODRAYmVhY29uaGlsbC5hcGxpdHJhay5jb20.gif\"><\/p>\n<p><span style=\"color: #ffffff;\">A101142RDU_1778099908<\/span><\/p>\n<h4><strong><a id=\"otherId\" href=\"https:\/\/jobs.beaconhillstaffing.com\/jobs\/job\/A101142RDU_1778099908\">To Apply for this Job Click Here<\/a><\/strong><\/h4>\n","protected":false},"author":0,"featured_media":3770,"template":"","meta":{"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","inline_featured_image":false,"_promoted":"","_job_location":"Durham, North Carolina","_application":"adminrdu.65358.12584@beaconhill.aplitrak.com","_company_name":"Beacon Hill Staffing Group","_company_website":"","_company_tagline":"","_company_twitter":"","_company_video":"","_filled":0,"_featured":0,"_remote_position":0,"_job_salary":"","_job_salary_currency":"","_job_salary_unit":""},"job-categories":[171,191],"job-types":[2,16],"class_list":{"0":"post-125633","1":"job_listing","2":"type-job_listing","3":"status-publish","4":"has-post-thumbnail","5":"hentry","7":"job-type-full-time","8":"job-type-temporary-contract"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Remote Claims Specialist Durham North Carolina<\/title>\n<meta name=\"description\" content=\"Remote Claims Specialist Durham North Carolina - Apply with Beacon Hill Staffing Services for this Remote Claims Specialist job in Durham, North Carolina\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/bhsg.com\/jobs\/job\/a101142rdu_1778099908-remote-claims-specialist-durham-north-carolina\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Remote Claims Specialist Durham North Carolina\" \/>\n<meta property=\"og:description\" content=\"Remote Claims Specialist Durham North Carolina - Apply with Beacon Hill Staffing Services for this Remote Claims Specialist job in Durham, North Carolina\" \/>\n<meta property=\"og:url\" content=\"https:\/\/bhsg.com\/jobs\/job\/a101142rdu_1778099908-remote-claims-specialist-durham-north-carolina\/\" \/>\n<meta property=\"og:site_name\" content=\"Nationwide Staffing Agency | Temp &amp; 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