Experienced U.S. Insurance Customer Service and Claims Specialist

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: TYPE OF WORK

Gig

: SALARY

$900-$1300 USD

: HOURS PER WEEK

40

: DATE UPDATED

Oct 17, 2026

JOB OVERVIEW

Experienced U.S. Insurance Customer Service and Claims Specialist

Remote, Philippines | Independent Contractor
Compensation: $900 to $1,300 USD per month
Experience with U.S. insurance is REQUIRED. This is not an entry level role.

ABOUT SHORE LEGACY INSURANCE
Shore Legacy Insurance is a growing, family owned American insurance agency. We offer supplemental health insurance, home health care benefits, hospital indemnity, cancer, dental and vision plans, Medicare, and life insurance.

Many of our clients are American seniors who count on us to help them understand their benefits and fix problems. We need someone who knows how to get things done, follows through without being reminded, and genuinely enjoys helping people.

WHAT YOU WILL DO
- Claims Assistance: Help clients complete and submit claim forms, identify missing documents, and follow up with the carrier until a decision is made.
- Carrier Communication: Contact U.S. insurance carriers by phone, email, and portal to investigate claims, resolve open issues, and get answers.
- NSF and Billing Recovery: Work returned premium drafts (NSF), failed payments, and billing problems. Contact clients to correct payment information and help prevent lapses and cancellations.
- Policy Servicing: Process address changes, payment updates, and requests for policy documents. Answer general service questions and route coverage or plan questions to a licensed agent.
- Client Support: Speak directly with American clients by phone and text, including seniors who need extra patience.
- Follow Through: Track every open issue, keep organized records, and make sure nothing falls through the cracks.
- Systems: Use carrier portals, our CRM, and call recording tools to manage client accounts.

REQUIRED QUALIFICATIONS
- At least 2 years supporting a U.S. insurance agency, carrier, or insurance BPO
- Hands on experience with claims, policy servicing, billing or NSF recovery, or carrier communications
- Excellent spoken and written English with a clear, professional phone manner
- Strong problem solving and the ability to work independently
- Excellent attention to detail and organization
- Experience with CRM systems and insurance carrier portals
- Reliable internet with a backup connection, a quiet workspace, and a professional home office setup

ESPECIALLY VALUABLE
- Experience with supplemental health, hospital indemnity, home health care, Medicare, or life insurance
- Experience with GoHighLevel, EnrollHere, or similar CRM and call recording platforms
- HIPAA training or experience handling protected health information

COMPENSATION AND WORK ARRANGEMENT
- Monthly contract fee: $900 to $1,300 USD, depending on experience
- Location: Remote, Philippines
- Engagement: Independent contractor
- Availability: About 40 hours per week, with coverage periods agreed together between 9 AM and 9 PM U.S. Eastern Time (night shift Philippine time)
- A signed confidentiality agreement is required, since this role involves client health and financial information

We are looking for a long term working relationship with our growing agency.

HOW TO APPLY
Use the subject line "Claims Specialist - [Your Name]" and include:
1. Your résumé, including your U.S. insurance experience
2. The names of the U.S. insurance agencies, carriers, or BPOs you have supported
3. The types of insurance and the carrier portals you have worked with
4. A 60 second voice recording introducing yourself and your insurance experience
5. A short answer in your own words: A 78 year old client calls upset because her premium payment was returned and she is afraid of losing her policy. What do you do?

Applications missing any item will not be reviewed. We prioritize applicants with verifiable U.S. insurance experience and strong phone skills.

Shore Legacy Insurance, LLC
----------

SKILL REQUIREMENT

Phone Support Insurance Claims Processing

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Experienced U.S. Insurance Customer Service and Claims Specialist

Please login or register as jobseeker to apply for this job.

TYPE OF WORK

SALARY

HOURS PER WEEK

DATE UPDATED

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