Claims Specialist

Envision Healthcare

Claims Specialist providing support for claims and insurance teams at Envision Healthcare. Responsible for managing claims intake and communication with providers throughout the claims process.

Posted 5/7/2026full-timeRemote • 🇺🇸 United StatesJuniorWebsite

About the role

Key responsibilities & impact

Organizes the Claims Management inbox, including incoming calls, mail, and faxes; identify, prioritize, and route requests to appropriate teams.
Coordinate and distribute claims and risk notifications to internal and external stakeholders in a timely manner.
Verifies provider insurance coverage and credentials using multiple databases and systems.
Prepares, reviews, and maintains claims reporting and assignment documentation in accordance with established guidelines.
Maintains accurate internal and external claims files, ensuring documentation is complete, compliant, and up to date.
Performs monthly reviews of submitted claims to ensure accuracy and completeness.
Assists with insurance coverage verifications and invoice-related check requests.
Supports data collection and reporting efforts related to claims mitigation goals and departmental metrics.
Establishes, maintains, and updates files, databases, records, reports, SOPs, templates, and documentation libraries.
Collaborates with internal teams and external vendors to support claims operations.
Escalates complex, sensitive, or non-routine issues promptly to appropriate stakeholders.
Other duties as assigned.

Requirements

What you’ll need

High School Degree or GED required.
Minimum 1 year of previous work experience is required.
Property and Casualty Claims or Insurance experience preferred.
Clinical, healthcare, claims and/or legal experience preferred.
Origami Risk Information System experience preferred.

Benefits

Comp & perks

Medical
Dental
Vision
Life
Disability
Healthcare FSA
Dependent Care FSA
Limited Healthcare FSA
FSAs for Transportation and Parking
HSAs
Paid Time Off
9 observed holidays
Paid family leave

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

claims managementclaims reportinginsurance coverage verificationdata collectiondocumentation maintenanceclaims mitigationSOPsdatabase managementinvoice processingrisk notifications

Soft Skills

organizationcommunicationcollaborationprioritizationproblem-solvingattention to detailtime managementstakeholder engagementadaptabilitycustomer service

Certifications

High School DegreeGED