Claims Specialist

Overview

Who We Are

Because health is personal. That's why Personify Health created the first and only personalized health platform—bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. We serve employers, health plans, and health systems with data-driven solutions that reduce costs while actually improving health outcomes. Together, our team is on a mission to empower people to lead healthier lives.

Learn even more about the work that drives us at personifyhealth.com.

Responsibilities

Ready To Keep Claims Moving Accurately for the Members and Clients Who Depend on Every Decision?

Why This Role Matters

Claims processing is where coverage becomes real for members. This role sits at the center of daily claims operations — processing accurately, meeting production targets, and making sure clients receive the reliable service they've contracted for. Errors here have downstream consequences; precision and consistency are what make this work matter.

What You'll Actually Do

Process claims accurately and on schedule: Execute daily claims processing activities in compliance with established policies, procedures, and client-specific requirements.

Meet production and quality targets: Maintain processing velocity and accuracy standards that keep client SLAs on track and operations running smoothly.

Support clients and members directly: Handle inquiries and interactions professionally, providing clear and accurate information to customers, clients, and internal teams.

Flag and escalate issues: Identify processing problems or discrepancies and route them appropriately to keep workflows unblocked.

Qualifications

What You Bring to Our Team

Education & Experience

• High school diploma or equivalent required

Technical Skills

• Computer literacy in Windows and Microsoft Office, including Word and Outlook
• Microsoft Excel proficiency and familiarity with insurance database systems a plus

Our Commitment: Personify Health is an equal opportunity employer committed to diversity, equity, inclusion, and belonging. We cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive—because diversity is core to who we are and critical to our work in health and wellbeing.

Stay Safe: Personify Health will never ask for payment or sensitive personal information like social security numbers during hiring. All official communication comes from verified company email addresses and or our secure applicant tracking system. Suspicious requests? Report them to [email protected]. View all legitimate openings at personifyhealth.com/careers.