Contract Claims Processor – Month to Month

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $43k - $59k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

📋 Claims Specialist

Where this job comes from

Posted on Sana's careers page, not through a job board

First seen by Remote Rocketship 0 minutes ago

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Logo of Sana

Sana

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 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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