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Member Claims Associate

Collective Health

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Plano, TX, USA

Posted 6+ months ago

We all depend on healthcare throughout our lifetimes, for ourselves, and our families and friends, but it is notoriously difficult to navigate and understand. As an industry that comprises 20% of the US economy we think healthcare should work better for all of us. At Collective Health we believe it’s time for a new day in healthcare where as members we are informed and empowered to make the right care choices when the decisions are urgent and critical.

Collective Health is growing its Member Services team in Plano, TX! As part of our Member Services team, each Member Claims Associate operates core processes to run our employer-sponsored medical plans and assists our members with some of their most complex claims issues. Member Claims Associates gain a comprehensive understanding of medical plan operations—processing medical claims, researching and responding to complicated member issues, and handling details related to regulatory requirements, our network partner relationships, and medical coding. Member Claims Associates do all this with the lens of continuing to delight our members as part of the Member Services Team.

As a Member Claims Associate, you can expect to learn and become a professional in the payer-side of healthcare. With the support of our established and knowledgeable teams, you will be an important contributor to scaling our operations and collaborating on a growing team at the forefront of redefining the healthcare industry.

Start Date and Training

Start date: October 7, 2024
You must be available for 5 weeks of required training beginning on the start date through November 1. You will not be able to take time off during the training period.

What you'll do:

Execute the daily operations of a health plan, including processing medical claims, researching and responding to our members' most complicated questions, tracking your accuracy around core metrics, and troubleshooting the many operational challenges that affect our business
Be part of the team that is continuously adapting to improve efficiency and scalability
Think critically and strategically to continually boost teamwork and communication across offices
Gain additional skills across different areas of our business over time
Develop in-depth industry expertise in the healthcare economy
Cultivate a culture that aligns with Collective Health values and incorporates the unique aspects of our team
Reporting to the Manager of Member Claims, this is an essential role on our Customer Experience team

To be successful in this role, you'll need:

Above all, you are driven, curious, and take ownership for everything you do
You can become proficient with a large volume of information quickly
You are a committed team player
You are excited to build and adapt to the adventures of working on a growing team
You are passionate about being a part of a fast-growing company
You have a passion for Collective Health's mission to transform the health insurance experience for employers and their employees

Nice to have:

Bachelor's degree or 1 or more years of work experience

Pay Transparency Statement

This is a hybrid position based out of our Plano, TX office, with the expectation of being in office at least two weekdays per week. #LI-hybrid
The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the hourly rate, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/#benefits.

Plano, TX Pay Range

$20.65—$20.65 USD

About Collective Health

Collective Health is the leading health benefits platform that brings together medical, dental, vision, pharmacy, and program partners into an integrated solution that better enables employees and their families to understand, navigate, and pay for healthcare. By reducing the administrative lift of delivering health benefits, providing an intuitive member experience, and helping control costs and improve outcomes, the company guides employees toward healthier lives and companies toward healthier bottom lines.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com.

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