Claims Processor

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $43k - $59k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

📋 Claims Specialist

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Sana

WebsiteLinkedInAll Job Openings

51 - 200 employees

🛡️ Insurance

⚕️ Healthcare Insurance

☁️ SaaS

💰 $60M Series B on 2022-06

Insurance • Healthcare Insurance • SaaS

Sana is a company providing modern health benefits tailored specifically for small businesses. The company offers comprehensive health plans which include medical, dental, and vision coverage, along with $0 healthcare options like virtual care, maternity, labs, and imaging services. Sana aims to simplify the management of health benefits, offering features like real-time employee management and transparent claims viewing. With a focus on affordability, businesses can save up to 20% by choosing Sana, with a high rate of renewal among clients. Their service includes a dedicated team of medical and benefits experts to assist members with guidance and in-network referrals. Sana emphasizes strong customer support with high satisfaction ratings, ensuring employees can keep their preferred providers without incurring out-of-network fees. The company prides itself on being a reliable and budget-friendly option for small businesses.

📋 Description

• Ensure the timely and accurate adjudication and payment of medical claims, following 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, researching and resolving claim issues, and communicating outcomes to appropriate parties • Become an in-house expert on 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 daily operations • Work independently and as part of a team to meet deadlines and daily processing quotas; complete daily and weekly 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; 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