Remote-Eligible Large Claims Coordinator

Highlight Health; Philadelphia (Philadelphia County); Hybrid; USD 63,000 - 77,000; Full time

Benefits offered by this job

Healthcare benefits

401(k) contributions

Bonuses

Paid time off

Commuting benefits

Hybrid work after probation

Job summary

Highlight Health is a profitable, fast-growing company protecting consumer rights and controlling healthcare costs for self-funded plans. The Large Claims Coordinator role focuses on coordinating across Sales, Account Management, Legal, and Claims Analysis, ensuring timely resolution of large claims and clear external communication.

Ideal candidates excel in cross-functional collaboration, organization, and problem solving, with strong interpersonal skills and medical knowledge.

Qualifications

• Ability to organize and prioritize a variety of tasks in a fast-moving environment.
• Strong interpersonal and problem-solving skills.
• Strong communication skills.
• Ability to take initiative and build out necessary resources and workflows.
• Medical/clinical knowledge.
• College degree preferred.

Responsibilities

• Serve as the primary liaison across Sales, Account Management, Legal, and Claims Analysis teams, as well as the main point of contact for external partners.
• Organize, prioritize, and initiate items that need to be completed amongst teams, and prioritize them based on internal and external factors.
• Manage the Large Claims inventory by running reports, monitoring daily activity and identifying risks, delays or process improvement opportunities.
• Lead multiple weekly meetings between key stakeholders to ensure large claims are being efficiently worked.
• Produce and disseminate materials summarizing claims analysis on large claims.
• Communicate findings to external parties in both written and presented formats.
• Assist executives in any other duties as required as it relates to the working of large claims.
• Draft and distribute materials for both internal and external usage that explains HLH processes for Large and Special claims

Skills

Interpersonal skills

Problem-solving

Communication

Initiative

Organization

Medical knowledge

Education

College degree

Job description

Highlight Health is a profitable, fast-growing company protecting consumer rights and controlling healthcare costs for self-funded plans. The Large Claims Coordinator role focuses on coordinating across Sales, Account Management, Legal, and Claims Analysis, ensuring timely resolution of large claims and clear external communication.

Ideal candidates excel in cross-functional collaboration, organization, and problem solving, with strong interpersonal skills and medical knowledge.