# Claims Processor

**Company:** [Trident](http://jobs.workable.com/companies/vfPRAdgDhHTiDaoFdMPCww.md)
**Location:** Remote
**Workplace:** remote
**Employment type:** Full-time

[Apply for this job](http://jobs.workable.com/view/a44dd985-577b-4824-b3c9-df175073e38f)

## Description

Our client is a healthcare benefits administration company. As a Claims Processor, you will play a pivotal role in ensuring the accuracy and efficiency of health insurance and health share claims processing for our hospital and health care clients.  
  
Key responsibilities include:

-   Process complex health insurance and health share claims from intake through resolution
-   Manage claim escalations, billing disputes, and legacy/backlog claim work
-   Review and audit work completed by offshore claims team members
-   Identify patterns and flag payment integrity issues
-   Collaborate with senior leadership on process improvements and workflow efficiency

## Requirements

-   2+ years of health insurance or TPA claims processing experience
-   Experience processing complex health insurance or health share claims end-to-end, from intake through resolution
-   Experience handling claims escalations, billing disputes, or legacy/backlog claim work
-   Professional fluency in English
-   Authorized to work in the United States
-   Based in the United States
-   Available to work 8:00am–5:00pm Central Time (CST)
-   Experience collaborating with senior leadership on process improvements or workflow efficiency initiatives

### Preferred Qualifications:

-   Experience reviewing or auditing work completed by an offshore claims processing team
-   Proficiency using Google Sheets for day-to-day claims processing work
-   Experience using SAVVOS, IPS, or Healthcloud in a production claims processing environment
-   Familiarity with health share, self-funded, or employer-sponsored health plans

## Benefits

-   Competitive salary of $55,000–$60,000 per year
-   Generous Paid Time Off (PTO): Unlimited PTO
-   Paid Holidays: Recognize and celebrate US Holidays with paid time off.
-   Full-Time Remote Work: Embrace the flexibility of a full-time work-from-home arrangement, allowing you to create a comfortable and efficient workspace in the comfort of your home.