Remote Contract Claims & Appeals Specialist

Sana Benefits, Inc.; United States; A distancia; USD 29.000 - 39.000; A tiempo parcial

Descripción de la vacante

Sana Benefits, Inc. is seeking a Contract Claims and Appeals Processor to handle timely and accurate insurance claim adjudication, appeals processing, and issue resolution.

You will work with the Customer Success and Support teams to ensure claimant satisfaction, acting as a subject matter expert on claims. Ideal candidates have a two-year degree or two years of claims experience, exceptional attention to detail, and the ability to work independently or in a team in a remote US-based

Formación

• Two-year degree and/or two years of claims adjudication/processing experience.
• Unparalleled attention to detail with ability to dive into the weeds.
• Excellent written and verbal communication skills.
• Ability to work independently and as part of a team.
• Fast learner, entrepreneurial, self-directed.
• Experience in claims processing and insurance principles is a plus.

Responsabilidades

• Ensure timely adjudication and payment of medical claims following policies and procedures, with clear notes.
• Process appeals and disputes, verify information, and communicate outcomes.
• Serve as in-house expert on claims matters and support Customer Success/Support teams.
• Identify operational issues and elevate to the appropriate internal team.
• Contribute to team goals to improve claims processes and integrate functions.
• Work solo or in a team to meet deadlines and processing quotas.

Conocimientos

Two-year degree

Claims adjudication

Attention to detail

Communication skills

Educación

Two-year degree

Descripción del empleo

Sana Benefits, Inc. is seeking a Contract Claims and Appeals Processor to handle timely and accurate insurance claim adjudication, appeals processing, and issue resolution.

You will work with the Customer Success and Support teams to ensure claimant satisfaction, acting as a subject matter expert on claims. Ideal candidates have a two-year degree or two years of claims experience, exceptional attention to detail, and the ability to work independently or in a team in a remote US-based