Yuzu
51 - 200 employees
Founded 2022
🏥 Healthcare
🛡️ Insurance
☁️ SaaS
Healthcare • Insurance • SaaS
Yuzu is a technology platform that lets organizations design, launch, and operate custom health plans and modernize third-party administrator (TPA) workflows. It provides a Benefits Builder to configure tiers, accumulators, and benefits; integrations with PBMs, stop-loss carriers, and other vendors; automated document generation and e-signature; web-based portals for employers, members, and vendors; in-house claims adjudication and payment infrastructure with real-time auto-ledgering; and reporting and support tools. Yuzu emphasizes white-labeling so customers can present fully branded plans and handles end-to-end plan operations from onboarding to live plan management.
Claims Resolution Specialist
🕒 6 days ago
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Yuzu
51 - 200 employees
Founded 2022
🏥 Healthcare
🛡️ Insurance
☁️ SaaS
Healthcare • Insurance • SaaS
Yuzu is a technology platform that lets organizations design, launch, and operate custom health plans and modernize third-party administrator (TPA) workflows. It provides a Benefits Builder to configure tiers, accumulators, and benefits; integrations with PBMs, stop-loss carriers, and other vendors; automated document generation and e-signature; web-based portals for employers, members, and vendors; in-house claims adjudication and payment infrastructure with real-time auto-ledgering; and reporting and support tools. Yuzu emphasizes white-labeling so customers can present fully branded plans and handles end-to-end plan operations from onboarding to live plan management.
📋 Description
• Process claims in alignment with implemented plan designs • Assist the Customer Support team by responding to inquiries, supporting complex case resolution, and handling phone calls as needed • Uphold high standards for precision, accuracy, and attention to detail in every claim you handle • Proactively identify and communicate risks and opportunities within our claims processes • Help prepare and track stop loss filings to ensure continuous and timely claims payments • Play a critical role in evolving and strengthening our Claims Operations team as we scale and take on new challenges
🎯 Requirements
• Experience in healthcare claims processing, preferably within a mid-sized TPA operating in the self-funded space • A strong commitment to accuracy and attention to detail • The ability to prioritize workload effectively in a fast-paced environment • Strong communication skills
🏖️ Benefits
• Equity opportunities • Competitive Salary • Health benefits • 401K with Employer matching • Career growth and development opportunities • Remote capabilities • We are a high-trust team with radically high transparency and autonomy
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