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Includedhealth6d ago

Claims Support Advocate

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Quick Summary

Overview

As a Claims Support Advocate (CSA), you will be part of a vibrant team of high performing and highly engaged professionals that work to ensure a quality member experience within our service level agreements.

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As a Claims Support Advocate (CSA), you will be part of a vibrant team of high performing and highly engaged professionals that work to ensure a quality member experience within our service level agreements. The CSA serves as a liaison between plan members, providers and health insurance companies to resolve member claim inquiries. The CSA handles all communication, paperwork, and negotiations with a health insurance carrier or provider on the behalf of the plan member.
  • Your primary objective is to provide effective and timely customer service for members, providers, insurers and clients regarding health care claims
  • Ensure timely follow-up on requests for accounts to be reviewed
  • Organize health insurance paperwork and medical record documentation
  • Demonstrate knowledge of proprietary software and other required technology (Google apps, Slack, etc)
  • Communicate timely status updates to patients throughout the claims process
  • Negotiate with providers on plan member balances
  • Appeal claim denials from the insurance company
  • Contact providers and insurance companies to resolve claim concerns
  • Assist with understanding of explanation of benefits (EOBs)
  • Assisting members with resolving claim errors or denials. Ideally to recoup or lower their medical expenses
  • Collaborate with peers and management across functions
  • Understand the evolving business requirements and adapt the operational processes to meet those requirements
  • Speak clearly, confidently and maintain professionalism as well as friendly member interactions while demonstrating persuasion in overcoming objections
  • Ability to handle a fast-paced, dynamic environment with competing priorities
  • Model a culture reflective of our core company values
  • Gain and retain a thorough understanding of the team and company policies, processes, software, etc
  • Including other duties and responsibilities as assigned by leadership
  • 1 year experience in customer service roles
  • 3 years of revenue cycle or carrier experience
  • Passion for providing support
  • Prior work experience in a claims support and health insurance role
  • Ability to take meticulous notes and document actions taken
  • Highly effective communication, problem resolution and organizational skills
  • Demonstrated ability to meet goals in a rapidly changing environment
  • Excellent data and overall analytical skills
  • Excellent written and verbal communication skills
  • Proven record of excellent time management and prioritization skills
  • Ability to troubleshoot basic technical issues
  • Proven track record of driving measurable efficiency results.
  • College degree preferred (additional experience in lieu of college degree will be considered)
  • Medical billing/coding certification (CPC) is beneficial, but not required
  • Prompt and regular attendance at assigned work location.
  • Ability to remain seated in a stationary position for prolonged periods.
  • Requires eye-hand coordination and manual dexterity sufficient to operate keyboard, computer and other office-related equipment.
  • No heavy lifting is expected, though occasional exertion of about 20 lbs. of force (e.g., lifting a computer / laptop) may be required.
  • Ability to interact with leadership, employees, and members in an appropriate manner.

    • Location & Eligibility

    Where is the job
    Worldwide
    Fully remote, anywhere in the world
    Who can apply
    Same as job location

    Listing Details

    Posted
    April 30, 2026
    First seen
    April 30, 2026
    Last seen
    May 6, 2026

    Posting Health

    Days active
    6
    Repost count
    0
    Trust Level
    46%
    Scored at
    May 6, 2026

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