Claims Processor – Remote

ActiveCampaign; United States; Remote; USD 30,307 - 38,572; Full time

Benefits offered by this job

Stock options

Medical, dental, and vision insurance

401(k) and HSA plans

Remote worker stipend

Wellness program

Opportunity for career growth

Job summary

ActiveCampaign is looking for a Claims Processor to join their team. This remote position involves processing insurance claims accurately and efficiently.

The ideal candidate will have a two-year degree and prior experience in claims processing. Benefits include stock options, medical, dental, and vision insurance, and opportunities for career growth.

Qualifications

• Two years of claims adjudication and processing experience required.
• Excellent attention to detail and communication skills needed.
• Ability to work independently and meet deadlines.

Responsibilities

• Process insurance claims accurately and in a timely manner.
• Research and resolve claims issues, communicating with claimants.
• Become an expert in claims matters and support Customer Success teams.

Skills

Attention to detail

Written communication skills

Verbal communication skills

Ability to work independently

Ability to meet deadlines

Education

Two-year degree

Claims adjudication experience

Job description

Remote setup sorted. Get fiber internet for $55/month, work distraction-free.

Sana’s vision is to make healthcare easy.

All of us can agree healthcare is simply too hard in the US. And our members feel that pain day in and day out. We aim to create an experience that simply feels easy when you need to access our healthcare system. If you need something, you know where to go to get it with care that is a click (or as few clicks as possible!) away.

What’s beautiful about a vision oriented toward “easy” is how it imparts a singular feeling. We instinctively know as humans when something is easy versus hard, even if we can’t explain why. We fight as a company to make an easy pathway available to all our members at every stage of their healthcare journey. If you feel passionate about delivering better healthcare to small businesses through a seamless care experience and affordable benefits, join us!

We’re currently seeking a Claims Processor who will be responsible for processing insurance claims in a timely and accurate manner. This includes gathering and verifying claim information, researching and resolving claim issues, and communicating with claimants to ensure their satisfaction.

We are building a distributed team and encourage all applicants to apply, regardless of location.

What you will do:

• Ensure the timely and accurate adjudication and payment of medical claims, following health plan policies and procedures, consulting 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 all claims-related matters and provide answers and support to Customer Success and Customer Support teams.
• Identify operational issues and elevate them to the appropriate internal team.
• Contribute to teamwide goals to improve claims processes and integrate additional functions into our daily operations.
• Work independently and as part of a team to meet deadlines and daily processing quotas. Your success will be measured on your ability to complete daily and weekly targets.

Qualifications & Benefits:

• Two-year degree and/or two years of claims adjudication and processing experience.
• Unparalleled attention to detail. You love getting into the weeds to get things done.
• Excellent written and verbal communication skills.
• Ability to work independently and as part of a team.
• Ability to meet deadlines and work under pressure.
• Experience in claims processing, knowledge of insurance principles and procedures is a plus.
• Stock options in rapidly scaling startup.
• Medical, dental, and vision Insurance.
• 401(k) and HSA plans.
• Remote worker stipend.
• Wellness program.
• Opportunity for career growth.
• Dynamic start-up environment.

Our cash compensation amount for this role is targeted at $22.00 – $28.00 per hour (40 hours/week) for all US-based remote locations. Final offer amounts are determined by multiple factors including candidate experience and expertise and may vary from the amounts listed above.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.