Contract Claims Processor – Month to Month
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Job Description
Claims processor adjudicating medical claims and appeals for Sana’s small-business health plans. Resolving claim issues and supporting customer-facing teams in a distributed U.S. operation.
Responsibilities:
- Ensure timely and accurate adjudication and payment of medical claims according to health plan policies and procedures
- Consult 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
- Research and resolve claim issues and communicate outcomes to appropriate parties
- Provide claims-related 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 daily operations
- Work independently and as part of a team to meet deadlines and daily processing quotas
- Complete daily and weekly processing targets
Requirements:
- 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, and self-directed
- Ability to meet deadlines and work under pressure
- Experience in claims processing and knowledge of insurance principles and procedures is a plus
Benefits:
- Base salary of $43,000–$59,000 per year
- Equity
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