[Hiring] Claims Processor @Sana Benefits

Role Description

We’re currently seeking a Claims and Appeals Processor who will be responsible for processing insurance claims in a timely and accurate manner. This includes gathering and verifying claim information, researching and resolving claim issues, and communicating with claimants to ensure their satisfaction.

• 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. Your success will be measured on your ability to complete daily and weekly targets.

Qualifications

• 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.
• $43,000 - $59,000 a year.