Claims Operations Associate - Remote

Overview

The Claims Operations Associate is responsible for managing claims and approvals processes, ensuring that health insurance claims are properly vetted and processed.

In Short

• Examine and approve or reject healthcare providers’ claims.
• Investigate claims for fraud, waste, and abuse.
• Resolve escalated approval requests for care.
• Negotiate tariffs and manage the providers’ dashboard.
• Collaborate with technology, customer success, and provider relations teams.

Requirements

• Experience in claims management or health insurance.
• Strong negotiation skills.
• Ability to investigate and analyze claims.
• Excellent communication and collaboration skills.

Benefits

• Opportunity to work in a dynamic environment.
• Contribute to improving healthcare accessibility.
• Collaborate with a talented team.