Transparent, AI-powered healthcare TPA. Backed by Y Combinator.
About the role
We are looking for additional team members to join our growing Health Plan Operations team as we scale and shape the future of health plan administration. This role is absolutely critical to the success of our company and will take on ownership for a wide range of operational workflows. We expect this team to work directly with the Founders on a regular basis.
What they're looking for
- Handle the enrollment, eligibility, and billing processes for new and existing plan participants
- Manage the end-to-end process of claims, including submission, review, and payment disbursement
- Reconcile participant accounts to reflect claim payments, administrative payments, monthly contributions, and other plan activity
- Support members and providers via email, phone, and our app
- Conduct regular audits of data and processes to identify and resolve discrepancies, minimizing costly errors and financial risk
- You want to focus on strategy not operations
More about this role
TrueClaim is the “Shopify for health insurance plans” - our AI-enabled platform makes operating great health plans easier and cheaper than ever before. Thanks to our claims review AI agents, TrueClaim saves health plans at least 7% of costs vs legacy solutions. We are backed by Y Combinator and other top investors, founded by industry veterans (Hinge Health, Pine Park Health - YC, pMD) and growing fast.
We are looking for additional team members to join our growing Health Plan Operations team as we scale and shape the future of health plan administration. This role is absolutely critical to the success of our company and will take on ownership for a wide range of operational workflows. We expect this team to work directly with the Founders on a regular basis.
- Handle the enrollment, eligibility, and billing processes for new and existing plan participants.
- Manage the end-to-end process of claims, including submission, review, and payment disbursement.
- Reconcile participant accounts to reflect claim payments, administrative payments, monthly contributions, and other plan activity
- Support members and providers via email, phone, and our app
- Conduct regular audits of data and...
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