Claims Expert

Oscar Health • Payson, AZ / Remote

Company

Oscar Health

Location

Payson, AZ / Remote

Type

Full Time

Job Description

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

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 ourselves—one that behaves like a doctor in the family.

About the role

The Claims Expert is responsible for identifying, scoping and executing workflow and efficiency initiatives.

You will report to the Claims Production Manager.

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

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If you live within commutable distance to our Tempe office (off the 101 at University Dr), you can come into the office on a voluntary basis. Otherwise, this is a remote / work-from-home role.

You must reside in Alabama, Arizona, Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Mexico, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, or Washington, D.C #LI-Remote

Pay Transparency:

The base pay for this role is: $24.00 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year

Responsibilities

  • Identify and execute projects as they relate to workflow improvements and initiatives.
  • Train colleagues relating to new and modified workflows
  • Identify, investigate, and resolve escalated issues
  • Effectively communicates findings and resolutions 
  • Compliance with all applicable laws and regulations 
  • Other duties as assigned

Qualifications

  • 2+ years previous work experience in claims 
  • 2+ years strong quantitative or analytical skills

Bonus Points

  • Bachelor’s degree
  • In-depth knowledge of general Insurance and/or Health Insurance operations
  • Advanced Google Suite or Microsoft Office capabilities

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 and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

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

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

California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Notice to Job Applicants.

Apply Now

Date Posted

02/07/2025

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