Remote Claims Systems Specialist

TRES HEALTH INC; United States; On-site; USD 70,000 - 110,000; Full time

Benefits offered by this job

Remote work

Job summary

Tres Health is seeking a Business System Specialist to configure and QA the claims system, support onboarding of new groups, and assist with vendor testing and system migrations.

The ideal candidate has 3–5 years experience configuring enterprise applications or business systems, strong troubleshooting and communication skills, and familiarity with claims administration systems and EDI. This is a full-time remote role aligned with U.S. business hours.

Qualifications

• 3–5 years of experience configuring enterprise applications or business systems.
• Experience with claims administration systems and electronic data interchange (EDI).
• Strong troubleshooting and problem-solving skills.
• Excellent verbal and written communication skills.
• Ability to manage multiple priorities in a fast-paced environment.

Responsibilities

• Configure and QA claims system to support new group and renewal onboarding.
• Assist with external vendor onboarding and project initiatives with system testing, validation, and quality assurance.
• Troubleshoot and resolve technical or configuration issues for internal teams and coordinate with vendors when necessary.
• Support software implementations, upgrades, and system migrations.
• Assist with data validation, imports, exports, and system integrations.
• Ensure compliance with organizational security, governance, and audit requirements.

Skills

Troubleshooting

Problem solving

Communication skills

Multitasking

HIPAA security

Job description

Tres Health is seeking a Business System Specialist to configure and QA the claims system, support onboarding of new groups, and assist with vendor testing and system migrations.

The ideal candidate has 3–5 years experience configuring enterprise applications or business systems, strong troubleshooting and communication skills, and familiarity with claims administration systems and EDI. This is a full-time remote role aligned with U.S. business hours.