Claims Support Advocate (Temp)
Included Health· Ops/Member Care – Member Care
RemoteContractPosted 2mo ago
About the role
Claims Support Advocate (CSA) serves as a liaison between plan members, providers and health insurance companies to resolve member claim inquiries, handling communication, paperwork, and negotiations on behalf of the plan member.
Responsibilities
- Your primary objective is to provide effective and timely customer service for members, providers, insurers and clients regarding health care claims
- Ensure timely follow-up on requests for accounts to be reviewed
- Organize health insurance paperwork and medical record documentation
- Demonstrate knowledge of proprietary software and other required technology (Google apps, Slack, etc)
- Communicate timely status updates to patients throughout the claims process
- Negotiate with providers on plan member balances
- Appeal claim denials from the insurance company
- Contact providers and insurance companies to resolve claim concerns
- Assist with understanding of explanation of benefits (EOBs)
- Assisting members with resolving claim errors or denials. Ideally to recoup or lower their medical expenses
- Collaborate with peers and management across functions
- Understand the evolving business requirements and adapt the operational processes to meet those requirements
- Speak clearly, confidently and maintain professionalism as well as friendly member interactions while demonstrating persuasion in overcoming objections
- Ability to handle a fast-paced, dynamic environment with competing priorities
- Model a culture reflective of our core company values
- Gain and retain a thorough understanding of the team and company policies, processes, software, etc
- Including other duties and responsibilities as assigned by leadership
Qualifications
- 1 year experience in customer service roles
- 3 years of revenue cycle or carrier experience
- Passion for providing support
- Prior work experience in a claims support and health insurance role
- Ability to take meticulous notes and document actions taken
- Highly effective communication, problem resolution and organizational skills
- Demonstrated ability to meet goals in a rapidly changing environment
- Excellent data and overall analytical skills
- Excellent written and verbal communication skills
- Proven record of excellent time management and prioritization skills
- Ability to troubleshoot basic technical issues
- Proven track record of driving measurable efficiency results
- Medical billing/coding certification (CPC) is beneficial, but not required
- College degree preferred (additional experience in lieu of college degree will be considered)
Skills
Required:Customer serviceRevenue cycleCommunicationDocumentationProblem-solving
Last updated Oct 21, 2026. Interested? Apply on the company site.
About Included Health
Designed to treat you better.™
Included Health delivers personalized virtual care, navigation, and cost-saving healthcare solutions for employers, health plans, and members.
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