Claims Processor at Oscar Health In Other

Claims Processor
Oscar Health // health insurance

Hi, we're Oscar. We're hiring a Claims Processor to join our Claims Production team.

Oscar is the first health insurance company built around a full stack technology platform & a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselvesone that behaves like a doctor in the family.

About the role

You will process incoming work associated with Claims operations following standard operating procedures.

You will report to the Claims Production Team Lead.

Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings & company events. #LI-Remote

Pay Transparency:

The base pay for this role is: $19.00 per hour. You are also eligible for employee benefits & monthly vacation accrual at a rate of 15 days per year

Responsibilities

Develop an excellent grasp of the Administrative Operations system & overall workflows.
Develop a comprehensive understanding of the current review processes that exist & additional processes needed to improve consistency & quality of review.
Contribute to the reduction of the daily inventory.
Form relationships with all partners.
Take ownership of monitoring, tracking, & providing a status on the health of all work-in-progress issues.
Manage the escalation & 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 & regulations
Other responsibilities as assigned

Qualifications

1+ years previous work experience in claims processing
1+ years quantitative analysis skills demonstrated through the use of Excel or Google Sheets

Bonus Points

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

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves & find both belonging & support. We're on a mission to change health care -- an experience made whole by our unique backgrounds & perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, & experience. Full-time employees are eligible for benefits including: medical, dental, & vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life & disability insurance, & paid wellness time & reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates & detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicants disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

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