Claims Examination Processor

Hi, we're Oscar. We're hiring a Claims Examination Processor 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 Examination Processor processes incoming work associated with Claims operations in accordance with standard operating procedures. You will report to the Claims Team Lead. Work Location: 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 one of the following states: 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. Note, this list of states is subject to change. Pay Transparency: The base pay for this role is: $19 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 currently exist and additional processes needed to improve consistency and quality of review. Contribute to the reduction of the daily inventory. Form strong working relationships with internal and external stakeholders. Take ownership of monitoring, tracking, and statusing 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 duties as assigned Qualifications 1+ years previous work experience in claims processing 1+ years quantitative analysis skills demonstrated through the use of Excel or Google Sheets 1+ years strong verbal and written communications, and interpersonal interactions Bonus Points A bachelor’s degree in Business, Accounting, Finance, Economics, Healthcare, Public Policy, Technology or Math In-depth knowledge of general Insurance and/or Health Insurance operations processing protocols and payment schemes. Experience manipulating and entering accurate data in a production driven environment. Experience handling Personal Health Information (PHI) in a professional manner. Demonstrated capacity to balance competing priorities and continue to execute projects with excellence. #J-18808-Ljbffr Oscar Health