Claims Processor

Claims Processor

Oscar is the first health insurance company built around a full stack technology platform and 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 and company events.

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

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

Qualifications

Bonus Points