Claims Processor I

🕒 July 17

🇺🇸 United States – Remote

💵 $23 - $25 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 11%

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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Sidecar Health

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2018

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Healthcare • Consulting • Insurance

Sidecar Health is a health insurance company that provides comprehensive major medical insurance with upfront pricing and no network restrictions or referral requirements. Their goal is to put employees in control of their healthcare by giving them a clear budget for care and allowing them to choose any doctor without surprise costs. They emphasize access to prescriptions without limitations and protection for unplanned care. Sidecar Health also offers transparent pricing and the option for members to save money if they find providers who charge less than their plan pays. Their offerings include individualized access plans and employer plans, ensuring members always have a choice of qualified doctors.

📋 Description

• Identify and enter basic procedure codes, diagnosis codes, and claims information • Validate claim data for completeness and follow up on missing or unclear information • Review claim documentation against Sidecar Health policies and processing rules • Flag discrepancies or unusual information to senior processors or supervisors • Meet productivity, quality, efficiency, and attendance expectations • Maintain accurate work records, notes, and documentation within claims systems • Follow established workflows and escalate issues when needed • Participate in training sessions to develop system proficiency and claims processing skills • Collaborate with peers in huddles and share questions, blockers, and process insights • Provide feedback on processing instructions and identify workflow improvements • Uphold confidentiality and compliance requirements, including HIPAA • Support special projects, seasonal workflows, and cross-functional initiatives • Review internal audit results and take corrective steps to improve accuracy

🎯 Requirements

• 3+ years of experience in claims processing, medical billing, healthcare administration, or a related operational role (or equivalent experience in a regulated, process-driven production environment) • Experience working in high-production environments where output, idle time, and quality metrics are monitored, and performance is transparent • Strong sense of ownership and accountability • Member-first mindset • Ability to manage multiple claims simultaneously while meeting defined service-level agreements (SLAs) • Strong analytical skills with the ability to identify discrepancies, investigate root causes, and apply policy accurately • Proficiency navigating multiple systems and tools simultaneously, with the ability to learn new platforms quickly • High level of professionalism and discretion when handling sensitive health and financial information in compliance with regulations (e.g., HIPAA) • Ability to work independently in a remote environment with demonstrated accountability, consistent output, and responsiveness during scheduled work hours • Exceptional attention to detail and commitment to accuracy • Exposure to claims processing platforms or healthcare operations systems • Ability to work effectively in a remote environment

🏖️ Benefits

• Competitive hourly compensation and equity opportunities • Medical, Dental, and Vision benefits with no waiting period • Paid vacation and company holidays • Company-provided IT equipment (laptop, monitors) • Ongoing opportunities for professional development and career advancement