Claims Processor I

This is a fully remote position, open to applicants in Alabama, +25 more states.

📋 Description

• Manage claims processing and oversee group information.

• Deliver customer service to support the acquisition and retention of Sentara Health Plan members.

• Engage with members, providers, and employers.

• Develop special reports and projects, which may include initial reviews, analyses, recommendations, and SBAR as tasked.

• Compile monthly and quarterly reports for the Research Team when assigned.

• Involve in provider site visits and conference calls as required.

• Evaluate new technology as directed.

⛳️ Requirements

• High School Graduate or equivalent is REQUIRED.

• Minimum of 1 year of Administrative experience is REQUIRED.

• At least 1 year of Customer Service experience is REQUIRED.

• Experience with claims is preferred.

• No certifications or licenses are necessary.

• Must work remotely from one of the designated eligible states.

• Availability to work from 8 AM to 5 PM EST, Monday through Friday.

• This is a full-time, permanent role requiring 40 hours per week.

🏝️ Benefits

• Medical, Dental, and Vision plans.

• Adoption, Fertility, and Surrogacy Reimbursement up to $10,000.

• Paid Time Off and Sick Leave.

• Paid Parental and Family Caregiver Leave.

• Emergency Backup Care.

• Long-Term, Short-Term Disability, and Critical Illness plans.

• Life Insurance.

• 401k/403B with Employer Match.

• Tuition Assistance of $5,250 per year and discounted educational opportunities through Guild Education.

• Student Debt Pay Down of up to $10,000.

• Pet Insurance.

• Legal Resources Plan.

• Annual discretionary bonus opportunity contingent on established system and employee eligibility criteria.

• Family-friendly culture.

• Opportunities for professional development and growth.

• Educational assistance or student loan repayment options.

• Voluntary benefits.