Claims Processor

13 hours, 14 minutes ago
Full-time
Junior
Operations
Sana Benefits

Sana Benefits

Sana Benefits offers dependable and affordable health insurance solutions for small businesses, including medical, dental, and vision coverage, as well as $0 healthcare options like virtual care and maternity services.

Insurance
201-500
Founded 2017
$107M raised

Description

  • Adjudicate and pay medical claims accurately and on time in accordance with health plan policies and procedures.
  • Maintain accurate, up-to-date notes for all processed claims.
  • Process appeals and disputes by verifying information, researching issues, resolving claims, and communicating outcomes.
  • Serve as an internal resource on claims-related matters for Customer Success and Customer Support teams.
  • Identify operational issues and escalate them to the appropriate internal teams.
  • Help improve claims processes and incorporate additional functions into daily operations.
  • Work independently and collaboratively to meet daily processing quotas, weekly targets, and deadlines.

Requirements

  • Two-year degree and/or two years of claims adjudication and processing experience.
  • Strong attention to detail.
  • Excellent written and verbal communication skills.
  • Ability to work independently and as part of a team.
  • Ability to meet deadlines and work effectively under pressure.
  • Fast-learning, entrepreneurial, and self-directed approach.
  • Experience in claims processing and knowledge of insurance principles and procedures (preferred).

Benefits

  • Fully remote, distributed work environment with no return-to-office mandate.
  • Flexible vacation policy.
  • Medical, dental, and vision insurance with 100% company-paid employee coverage.
  • 401(k) with company match, plus FSA and HSA plans.
  • Paid parental leave, disability coverage, and life insurance.
  • Stock options and transparent compensation with formal career development programs.
  • One-month paid sabbatical after five years.
  • Home-office setup stipend and ongoing learning budget.

Interested in this position?

Apply directly on the company website

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