{"id":508363,"url":"https://alion.io/job/sana-benefits-claims-processor","title":"Claims Processor","company":{"id":5528,"name":"Sana Benefits","domain":"sanabenefits.com","url":"https://alion.io/company/sana-benefits","size_band":"51-200","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Lever","truth_index":null},"role":"Early Careers","role_family":"Early Careers","seniority":null,"employment_type":null,"work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"board_field","remote_working_hours":null,"hiring_geo_confidence":"structured","locations":[],"countries":[],"hiring_countries":["US"],"hiring_countries_total":1,"salary":{"min":43000,"max":59000,"currency":"USD","period":"year","gross":null,"usd_annual":59000},"salary_estimate":null,"experience_years_min":null,"visa_sponsorship":false,"relocation_package":false,"has_equity":true,"technologies":[],"status":"live","first_seen_at":"2026-08-21T16:59:33Z","employer_posted_date":"2026-08-21","last_verified_at":"2026-10-31T05:38:27Z","board_verified":true,"closed_at":null,"days_open":70,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":70},"description":"Sana’s vision is to make healthcare easy.\nAll of us can agree healthcare is simply too hard in the US. And our members feel that pain day in and day out. We aim to create an experience that simply feels easy when you need to access our healthcare system. If you need something, you know where to go to get it with care that is a click (or as few clicks as possible!) away.\nWhat’s beautiful about a vision oriented toward “easy” is how it imparts a singular feeling. We instinctively know as humans when something is easy versus hard, even if we can’t explain why. We fight as a company to make an easy pathway available to all our members at every stage of their healthcare journey. If you feel passionate about delivering better healthcare to small businesses through a seamless care experience and affordable benefits, join us!\nWe’re currently seeking a Claims and Appeals Processor who will be responsible for processing insurance claims in a timely and accurate manner. This includes gathering and verifying claim information, researching and resolving claim issues, and communicating with claimants to ensure their satisfaction.\nWe are building a distributed team and encourage all applicants to apply, regardless of location.\nWhat you will do:\nEnsure the timely and accurate adjudication and payment of medical claims, following health plan policies and procedures, consulting with team members, care partners and advisors as necessary. Maintain accurate and up-to-date notes of all claims processed.\n\nProcess appeals and disputes by gathering and verifying claim information, researching and resolving claim issues, and communicating outcomes to appropriate parties.\n\nBecome an in-house expert on all claims-related matters and provide answers and support to Customer Success and Customer Support teams.\n\nIdentify operational issues and escalate them to the appropriate internal team.\n\nContribute to teamwide goals to improve claims processes and integrate additional functions into our daily operations.\n\nWork independently and as part of a team to meet deadlines and daily processing quotas. Your success will be measured on your ability to complete daily and weekly targets.\n\nAbout you:\nTwo-year degree and/or two years of claims adjudication and processing experience\n\nUnparalleled attention to detail. You love getting into the weeds to get things done.\n\nExcellent written and verbal communication skills.\n\nAbility to work independently and as part of a team.\n\nFast learner. Entrepreneurial. Self-directed.\n\nAbility to meet deadlines and work under pressure.\n\nExperience in claims processing, knowledge of insurance principles and procedures is a plus.\n\nBenefits:\nRemote company with a fully distributed team - no return-to-office mandates\n\nFlexible vacation policy (and a culture of using it)\n\nMedical, dental, and vision insurance with 100% company-paid employee coverage\n\n401(k) with company match, FSA, and HSA plans\n\nPaid parental leave\n\nShort and long-term disability, as well as life insurance\n\nCompetitive stock options are offered to all employees\n\nTransparent compensation & formal career development programs\n\nPaid one-month sabbatical after 5 years\n\nStipends for setting up your home office and an ongoing learning budget\n\nDirect positive impact on members’ lives - wait until you see the positive feedback members share every day","description_format":"text","description_chars":3354,"description_truncated":false,"requirements":{"experience_years_min":null,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":["Flexible vacation policy","Home office","Life insurance","Parental leave","Stock options","Vision insurance"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Custom Software Development","Insurance Brokers & Agencies"],"lifecycle":[{"event":"open","at":"2026-09-07T13:14:08Z"}],"visa":[],"liveness":{"score":12,"band":"cold","label":"Long shot","p_open":1,"p_active":0.421,"p_room":0.28,"age_days":70,"expected_fill_days":35,"reasons":["conf:0","win:tail","crowd:"],"computed_at":"2026-10-31T05:58:55Z"},"pay":{"stated_usd_annual":59000,"is_top_pay":true},"html_url":"https://alion.io/job/sana-benefits-claims-processor","json_url":"https://alion.io/job/sana-benefits-claims-processor.json","meta":{"generated_at":"2026-10-31T06:07:28Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":8915,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-01T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":5528},"rest":"https://alion.io/mcp/rest/get_company?id=5528"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fsana-benefits-claims-processor"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fsana-benefits-claims-processor"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fsana-benefits-claims-processor"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/sana-benefits-claims-processor\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fsana-benefits-claims-processor"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":508363}},{"tool":"search_jobs","arguments":{"company":"sanabenefits.com","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":508363},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. Docs: https://alion.io/developers"}}