Process appeals and disputes by gathering and verifying claim information, researching and resolving claim issues, and communicating outcomes to appropriate parties.
Become an in-house expert on all claims-related matters and provide answers and support to Customer Success and Customer Support teams.
Identify operational issues and escalate them to the appropriate internal team.
Contribute to teamwide goals to improve claims processes and integrate additional functions into our daily operations.
- Work independently and as part of a team to meet deadlines and daily processing quotas. Your success will be measured on your ability to complete daily and weekly targets.
- About you:
- Two-year degree and/or two years of claims adjudication and processing experience
Unparalleled attention to detail. You love getting into the weeds to get things done.
Excellent written and verbal communication skills.
Ability to work independently and as part of a team.
Fast learner. Entrepreneurial. Self-directed.
Ability to meet deadlines and work under pressure.
- Experience in claims processing, knowledge of insurance principles and procedures is a plus.
- Benefits:
- Remote company with a fully distributed team – no return-to-office mandates
Flexible vacation policy (and a culture of using it)
Medical, dental, and vision insurance with 100% company-paid employee coverage
401(k) with company match, FSA, and HSA plans
Paid parental leave
Short and long-term disability, as well as life insurance
Competitive stock options are offered to all employees
Transparent compensation & formal career development programs
Paid one-month sabbatical after 5 years
Stipends for setting up your home office and an ongoing learning budget
Direct positive impact on members’ lives – wait until you see the positive feedback members share every day