Claims Processor

Job Summary

To support a growing healthcare initiative, the remote Claims Processor will manage the timely and accurate processing of insurance claims and appeals, ensuring member satisfaction through effective communication and issue resolution.

Key responsibilities

• Ensure timely adjudication and payment of medical claims, maintaining accurate documentation
• Process appeals and disputes by verifying claim information and communicating outcomes
• Serve as an in-house expert on claims-related matters, providing support to Customer Success and Customer Support teams

Required qualifications

• Two-year degree and/or two years of claims adjudication and processing experience
• Experience in claims processing and knowledge of insurance principles and procedures is a plus
• Ability to meet deadlines and work under pressure
• Fast learner with an entrepreneurial and self-directed mindset
• Unparalleled attention to detail