Claims Operations Associate
Job Description
At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.
As part of the Member Services team within Customer Experience, the Claim Operations team will own processes that require close collaboration with finance, legal, product, and other internal teams. The Claim Operations - Systems team ensures our production systems are working accurately and partners with our Product team to resolve issues that arise. As a member of the team, you’ll work on claims systems issues, claims testing and development, and 835 error resolution.
What you’ll do:
- Support the execution of the day-to-day operations of our medical plans, including but not limited to:
- Resolving errors related to medical 835 forms and claim finalization
- Triaging & troubleshooting claim processing related bugs and issues
- Loading 837s and one off claims into our claims network via the manual load process
- Own & apply a scalability lens to several ...
The Real Dill ☘️
The employee benefits pool was an attractive area to monetize for startups - if insurers weren't willing to pay, it makes sense that employers would be looking for ways to attract (and retain) top talent, with benefits being a huge portion of it. Countless startups have ridden the employee benefits wave to superstardom (see: Hinge Health), but there is a downside - when the economy experiences a downturn, benefits are one of the first things on the chopping block. Collective Health is not immune to this, as shown by recent layoffs. However, it's hard to believe that employee benefits will totally go away - and there's always going to be a space to manage these benefits more efficiently and effectively. (August 2023)
Jon Lee, PT, DPT, OCS, FAAOMPT, MBA
Pickle co-founder
About Collective Health
Integrated software solution that makes administering company health benefit plans simpler and more insightful than traditional health insurance company solutions
MissionTo make understanding, navigating, and paying for care effortless, we've evolved the way health benefits work
Wow FactorThird-party study in 2023 from Aon estimated approximately $11 million in lower claims over five years as compared to similar control group
Company benefits
- 🦷 Dental
- 🧠 Mental health benefits
- 👀 Vision
- 📈 Stock/equity
- 🐣 Maternity/paternity leave
- 🏖️ Paid vacation leave
- 🩷 Wellness Benefits
- 🧘 Paid sabbatical
Pickle is not affiliated with listed companies unless otherwise noted.
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