Remote opportunity at
OSCAR ASSOCIATES (AMERICAS), LLCClaims Processor I
OSCAR ASSOCIATES (AMERICAS), LLC is hiring a Claims Processor I to join the Claims Team. Founded in 2012, Oscar operates as a health insurance company utilizing…
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About This Role
OSCAR ASSOCIATES (AMERICAS), LLC is hiring a Claims Processor I to join the Claims Team. Founded in 2012, Oscar operates as a health insurance company utilizing a technology platform with a focus on member service. In this remote position, the employee will report to the Claims Lead and will be responsible for reviewing, processing, and adjudicating health insurance claims. The Claims Processor I ensures timely and accurate claim resolution by…
Job Description
OSCAR ASSOCIATES (AMERICAS), LLC is hiring a Claims Processor I to join the Claims Team. Founded in 2012, Oscar operates as a health insurance company utilizing a technology platform with a focus on member service. In this remote position, the employee will report to the Claims Lead and will be responsible for reviewing, processing, and adjudicating health insurance claims.
The Claims Processor I ensures timely and accurate claim resolution by verifying eligibility, checking benefits, reviewing supporting documentation, and applying payment guidelines. Responsibilities also include addressing system errors, answering claim questions, and contributing to daily inventory reduction and team production objectives. This full-time role is open to applicants residing in Arizona, Florida, Georgia, or Texas, and requires working from a home office with occasional travel for company events and team gatherings.
Responsibilities
- Process health insurance claims accurately and in a timely manner
- Research and adjudicate claims following business regulations, internal standards, and guidelines
- Resolve system errors, audits, and claim mistakes through investigation and approved references
- Contribute to lowering daily inventory by processing claims and meeting team production goals
- Comply with all applicable laws and regulations
Requirements
- High School Diploma, GED, or equivalent years of experience in claims processing, data analytics, and/or provider data
Qualifications
- Strong written and verbal communication skills
- Ability to follow instructions and navigate multiple systems concurrently
- Capacity to solve problems using pre-established methods and guidelines
- Skill in analyzing critical data and reviewing claims
- Experience using claims resolution systems
- Associate or Bachelor degree in Business, Accounting, Finance, Economics, Healthcare, Public Policy, Technology, or Math
- Advanced Google Suite or Microsoft Office skills, or a willingness to learn
- Thorough knowledge of health insurance operational processing protocols and payment schemes
- Experience entering and manipulating precise data in a production-oriented environment
- Professional experience handling Personal Health Information
- Demonstrated ability to manage competing priorities and execute projects successfully
Core Skills
Benefits
- Base pay of $20 per hour
- Employee benefits including medical, dental, and vision coverage
- Monthly vacation accrual at a rate of 15 days per year
- 11 paid holidays
- Paid sick time
- Paid parental leave
- 401(k) plan participation
- Life and disability insurance
- Paid wellness time and reimbursements
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
Is this position remote?
Yes, this is a remote role performed from a home office, though occasional travel may be necessary for company events and team meetings. Candidates must reside in Arizona, Florida, Georgia, or Texas.
What is the salary for the Claims Processor I role?
The base pay for this position is $20 per hour. Final offers are determined by factors such as relevant skills, education, and experience.
What are the core educational or experience requirements?
Applicants must have a High School Diploma, GED, or equivalent years of experience in data analytics, provider data, and/or claims processing.
What benefits are included with this full-time job?
Full-time employees receive medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, paid wellness time and reimbursements, and monthly vacation accrual at a rate of 15 days per year.
Sample Interview Questions
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