Operations Administrator I (Claims Processor)

Job Description

Job Description

Who We Are

OneBridge Benefits was founded in 2013 by members of our current leadership team who set out to build better technology and smarter processes to support account‑based health plans. Today, we’ve grown into a technology‑enabled benefits administrator serving more than 380,000 participants and managing 4.48 billion dollars in assets.

Joining OneBridge means becoming part of a group of bright, driven, and collaborative individuals. We’ve built an environment where people can contribute to meaningful work, grow their skills, and pursue their individual passions. While each team’s day‑to‑day responsibilities vary, you’ll find that we consistently value idea‑sharing, encourage innovation, and enjoy tackling the challenges that come with achieving our mission.

The Opportunity:

We're looking for an Operations Administrator to join our Operations Team. This role plays an integral part in supporting OneBridge account‑based health plans and is responsible for key operational processes including eligibility, enrollment, and claims administration. The ideal candidate is comfortable working independently while collaborating closely with team members to support our overall operational approach and culture.

You Will:

• Transcribe data accurately from multiple document sources into recordkeeping system
• Evaluate and process reimbursement claim submissions in accordance with company policies and IRS guidelines
• Review and apply appropriate action to incoming documents from covered participants and employer groups
• Analyze data from reports and system information to identify and resolve errors prior to final substantiation
• Collaboratively work with customer service vendors to provide first-class responses to service
• Consistently maintain production standards based on metrics and processing goals

What You Bring:

• Six months of medical claims processing/medical billing experience, customer service experience preferably in a healthcare-related or social services setting; or a combination of experience
• Accurate data entry skills, detail orientated and highly organized
• Proficiency Microsoft Office products
• Ability to meet or exceed quality standards for entered information
• Individually driven as well as dedicated to working collaboratively with the team
• Ability to meet all department goals to include accuracy and productivity
• Excellent written and verbal communication skills
• Strong analytical, problem-solving, and decision-making skills
• Flexibility to work additional hours as needed
• High school or equivalent (Preferred)

Why OneBridge Benefits?

OneBridge Benefits Inc. is a Buffalo-born company with a national footprint, built on service, integrity, and innovation. You'll join a collaborative people-first culture where your expertise is valued, and your work makes real impact. This is a Monday-Friday, in-office role, located at our Downtown Buffalo, NY office.