Contract Claims Processor (Month to Month)

Sana; United States; Remote; USD 43,000 - 59,000; Full time

Job summary

Sana is seeking a Contract Claims and Appeals Processor for remote US-based work. You will adjudicate and pay medical claims, process appeals, and support internal teams with claims knowledge.

Two-year degree or equivalent claims experience is required, with keen attention to detail and strong communication. This role offers remote work, with a base salary plus equity considerations and US-wide eligibility.

Qualifications

• Two-year degree and/or two years of claims adjudication and processing experience.
• Unparalleled attention to detail and accuracy in processing claims.
• Excellent written and verbal communication skills.
• Ability to work independently and as part of a team.

Responsibilities

• Ensure timely and accurate adjudication and payment of medical claims.
• Process appeals and disputes by gathering information and resolving issues.
• Serve as in-house expert on claims-related matters for Customer Success and Customer Support.
• Identify operational issues and route them to the appropriate internal teams.
• Contribute to team goals to improve claims processes and integrate functions.
• Meet daily and weekly processing quotas and deadlines.

Skills

Attention to detail

Excellent communication

Teamwork

Fast learner

Self-directed

Education

Two-year degree

Job description

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 Contract Claims and Appeals 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.

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 ease 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.

About you:

• 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.
• 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.

About Sana

Founded in 2017, Sana is a health plan solution built for small and midsize businesses — designed around our integrated primary care service, Sana Care. It’s the foundation of everything we build: ensuring members can easily access high‑quality, affordable care while employers and brokers have the tools they need to manage company benefits with confidence.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. 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.

Our cash compensation amount for this role is targeted at $43,000-59,000 (this is an hourly role at $20.67-$28.36/hour) base + equity per year 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 are determined by multiple factors including candidate experience and expertise and may vary from the amounts listed above.