Job Overview
Location
US Remote
Job Type
Full-time
Category
Customer Success
Date Posted
April 4, 2026
Full Job Description
đź“‹ Description
- • As a Claims Specialist at Health Advocate, you will serve as a trusted advocate, educator, and problem-solver for members navigating complex healthcare claims, ensuring timely resolutions and reducing stress through expert guidance and coordination.
- • Your day-to-day responsibilities include investigating billing discrepancies, coordinating benefits across Medicaid, Medicare, and other programs, educating members on coverage details, ensuring compliance with federal regulations, collaborating with team members, escalating unresolved issues, and mentoring new hires to support team growth and process improvement.
- • Health Advocate is a mission-driven organization dedicated to simplifying healthcare and empowering members through personalized support, predictive analytics, and a proprietary technology platform. As part of Teleperformance in the US, the company has been recognized as #95 on the 2024 Fortune 100 Best Companies to Work For list and has earned multiple industry awards for excellence in customer service and workplace culture.
- • In this role, you will develop deep expertise in healthcare claims, benefits coordination, and regulatory compliance while building strong communication and problem-solving skills. You’ll have opportunities to mentor others, contribute to process improvements, and grow within a company that promotes from within and values employee development.
🎯 Requirements
- • Minimum of 2 years of experience in healthcare, customer service, or claims processing.
- • Strong analytical skills to investigate billing discrepancies, identify root causes, and propose practical solutions.
- • Excellent communication and interpersonal abilities, including active listening and empathetic engagement with members in stressful or emotionally charged situations.
- • Familiarity with healthcare benefit plans, including ACA guidelines, Medicare, COBRA, dental, vision, and behavioral health coverage (preferred).
- • Proficiency in MS Word and Excel, and comfort using internal databases to document and track cases.
- • Ability to adhere to internal policies, procedures, and federal regulations to ensure accurate and timely claims processing.
🏖️ Benefits
- • Competitive hourly pay starting at $20 per hour.
- • Comprehensive benefits package including medical, dental, and vision coverage, 401(k) with company match, and paid time off (PTO).
- • Access to advanced systems, comprehensive training, and ongoing support from a collaborative team.
- • A purpose-driven culture centered on empathy, innovation, and teamwork, where employees help people every day and make a meaningful difference in members’ lives.
- • Opportunities for career growth, with many supervisors promoted from within and a strong emphasis on internal development and mentorship.
Skills & Technologies
About Health Advocate
Health Advocate provides health advocacy and navigation, clinical care management, and mental health support to over 12,500 organizations and their members. The company utilizes personal support, data, and technology to improve health outcomes and lower medical costs for its clients' employees. They offer 24/7 support in over 250 languages, with services that are HIPAA-compliant and NCQA-certified & accredited. Health Advocate aims to provide a whole-person approach to support physical, emotional, relational, and financial well-being, leading to improved health outcomes and reduced absenteeism.
Subscribe to the weekly newsletter for similar remote roles and curated hiring updates.
Newsletter
Weekly remote jobs and featured talent.
No spam. Only curated remote roles and product updates. You can unsubscribe anytime.
Similar Opportunities
XN Limited
2 months ago
Silver.com LLC
2 months ago
