Claims Specialist

Overview Who We Are Ready to create a healthier world? We are ready for you! Personify Health is on a mission to simplify and personalize the health experience to improve health and reduce costs for companies and their people. At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters. Together, we’re shaping a healthier, more engaged future.Responsibilities Ready to Process Claims That Directly Impact Member Care? We're looking for a dedicated professional who understands that efficient claims processing is essential to member satisfaction and healthcare access. As our Claims Specialist, you'll perform critical daily activities that ensure timely, accurate processing for our clients while maintaining the highest standards of quality and compliance.What Makes This Role Different✓ Member impact: Your work directly affects members' access to healthcare and their experience with our services✓ Quality focus: Maintain compliance with policies and procedures while meeting production requirements✓ Team environment: Work in collaborative, high-paced office setting with opportunities for professional interaction and growth✓ Skill development: Build expertise in claims processing systems and healthcare administrationWhat You'll Actually DoProcess claims efficiently: Handle daily claims processing activities for Personify Health clients, ensuring accuracy and timeliness in all transactions.Maintain quality standards: Work in high-paced office environment while focusing on tasks and consistently performing in compliance with policies and procedures.Meet production requirements: Adhere to work schedule and regularly attend work to meet client and production requirements while managing assigned deadlines.Support team success: Interact professionally with coworkers, clients, and customers while contributing to positive, collaborative work environment.Demonstrate reliability: Maintain ability to work on computer, multitask effectively, and consistently perform tasks according to established standardQualifications What You Bring to Our Mission The Foundational Requirements High school diploma or equivalent required Computer literacy with knowledge of Windows and Microsoft Office environment Proficiency in Word and Outlook (Excel and insurance database systems experience a plus) The Communication Abilities Ability to read and interpret documents, instructions, correspondence, and memos Capability to write routine reports and correspondence Skills to present information effectively in one-on-one and small group situations The Analytical Skills Ability to compute rate, ratio, and percent and interpret bar graphs Capacity to apply common sense understanding to written, oral, or diagram instructions Problem-solving abilities for standardized situations involving concrete variables The Professional Qualities Excellent interpersonal and communication skills with strong customer orientation Ability to work in high-paced call center environment Professional demeanor and collaborative approach to teamwork Ready to create a healthier world? We are ready for you! No candidate will meet every single desired qualification. If your experience looks a little different from what we’ve identified and you think you can bring value to the role, we’d love to learn more about you!Personify Health is an equal opportunity organization and is committed to diversity, inclusion, equity, and social justice.We strive to cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive. Personify Health is committed to driving Diversity, Equity, Inclusion and Belonging (DEIB) for all stakeholders: employees (at each organization level), members, clients and the communities in which we operate. Diversity is core to who we are and critical to our work in health and wellbeing.