Contract Claims Processor – Month to Month

This is a fully remote position, open to applicants in United States.

📋 Description

• Ensure prompt and precise adjudication and payment of medical claims in accordance with health plan protocols and procedures.

• Collaborate with team members, care partners, and advisors as required.

• Keep accurate and current records of all claims processed.

• Handle appeals and disputes by collecting and validating claim information.

• Investigate and resolve claim issues, communicating results to the relevant parties.

• Provide claims-related assistance and support to the Customer Success and Customer Support teams.

• Identify operational challenges and escalate them to the appropriate internal team.

• Contribute to team objectives aimed at enhancing claims processes and incorporating additional functions into daily operations.

• Operate independently and collaboratively within a team to achieve deadlines and daily processing quotas.

• Meet daily and weekly processing goals.

⛳️ Requirements

• An associate degree and/or two years of experience in claims adjudication and processing.

• Exceptional attention to detail.

• Strong written and verbal communication skills.

• Capability to work independently and as part of a team.

• Quick learner, entrepreneurial, and self-motivated.

• Ability to meet deadlines and thrive under pressure.

• Experience in claims processing along with knowledge of insurance principles and procedures is advantageous.

🏝️ Benefits

• Base salary ranging from $43,000 to $59,000 annually.

• Equity.