Ensure the timely and accurate adjudication and payment of medical claims, following health plan policies and procedures, consulting with team members, care partners and advisors as necessary.
Maintain accurate and up-to-date notes of all claims processed.
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.

Two-year degree and/or two years of claims adjudication and processing experience.
Unparalleled attention to detail.
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.

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.

Remote (Worldwide)

Sana Benefits is hiring a Claims Processor

Similar Jobs