Claims Processor I

About the role

Hi, we're Oscar. We're hiring a Claims Processor 1 to join our Claims Team. Oscar is the first health insurance company built around a full stack technology platform and a relentless 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 Processor 1 is responsible for accurately reviewing, processing, and adjudicating health insurance claims in compliance with company policies, contractual agreements, and regulatory requirements. This role ensures timely and accurate claim resolution by verifying eligibility, benefits, and supporting documentation; applying appropriate coding and payment guidelines; and identifying discrepancies or potential issues for follow-up. The role works to resolve claim inquiries, provide clarification on claim status, and support prompt reimbursement. You will report into the Claims 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…

This is a summary of the advert. The full description and the application are on Oscar Health's careers site.

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