Claims Processor

Summary

Join Oscar's Claims Production team as a Claims Processor! You'll process incoming claims work, following established procedures and reporting to the Team Lead. This role offers a blended work culture, with remote options available for those residing in Arizona, Florida, Georgia, or Texas. The hourly pay is $19.00, plus benefits. You'll develop expertise in claims operations systems, contribute to process improvements, and collaborate with various partners. The position requires experience in data analytics, claims processing, or related fields, along with quantitative analysis skills. A bachelor's degree and insurance knowledge are beneficial but not required.

Requirements

• 1+ years previous work experience in any of the following areas: data analytics, provider data, claims processing, broker commissions, eligibility and billing
• 1+ years quantitative analysis skills demonstrated through the use of Excel or Google Sheets

Responsibilities

• Develop an excellent grasp of the Administrative Operations system and overall workflows
• Develop a comprehensive understanding of the current review processes that exist and additional processes needed to improve consistency and quality of review
• Contribute to the reduction of the daily inventory
• Form relationships with all partners
• Take ownership of monitoring, tracking, and providing a status on the health of all work-in-progress issues
• Manage the escalation and resolution process with external vendors to ensure appropriate turnaround times (where applicable)
• Contribute to team-wide goals that support the success of Claims Productions daily operations
• Compliance with all applicable laws and regulations
• Other responsibilities as assigned

Preferred Qualifications

• A bachelor’s degree in Business, Accounting, Finance, Economics, Healthcare, Public Policy, Technology or Math
• In-depth knowledge of general Insurance or Health Insurance operations processing protocols and payment schemes
• Experience manipulating and entering accurate data in a production environment
• Experience handling Personal Health Information (PHI)
• Ability to balance competing priorities and continue to accomplish projects

Benefits

• Medical, dental, and vision benefits
• 11 paid holidays
• Paid sick time
• Paid parental leave
• 401(k) plan participation
• Life and disability insurance
• Paid wellness time and reimbursements