Care Navigator
RemoteFull-timePosted 3w ago
About the role
Role to support members on SafetyWing's US health insurance plan by helping them understand benefits, find in-network care, navigate appeals, review explanations of benefits, and coordinate between members, providers, and internal teams. Includes opportunities to improve the product from claims data.
Responsibilities
- Being the warm, persistent point of contact a member can hand a confusing bill, denial, or complex question to
- Helping members navigate the appeals process when they don't know where to start, and reviewing complex cases as they come up
- Reviewing EOBs to catch any errors and advocating for the member
- Coordinating between a member and their providers to resolve billing and coverage issues end to end
- Helping members and providers understand what requires prior authorization and making sure it's submitted correctly and on time, including specialty and pharmacy pre-authorization
- Translating plan design and benefits into plain language so members understand what is and isn't covered
- Pointing members toward high-value, in-network care and providers - this is administrative navigation, not clinical advice
- Flagging patterns you notice in claims and costs to help us keep improving the plan
Qualifications
- Several years in a medical-administrative or patient-facing coordination role
- Hands-on experience with claims, medical billing, and pre-authorizations, and ability to read an EOB and spot when something's off
- Working familiarity with CPT and ICD coding and how charges are built and submitted
- Comfort coordinating across members, providers, and payers with persistence to chase resolution
- Ability to communicate warmly and clearly with members
- Extra shine if you have prior experience on the payer or claims-administration side of health insurance, hold a BCPA certification, or come from a clinical-adjacent background
Skills
Required:Experience in medical-administrative or patient-facing coordinationClaims and medical billingEOB interpretationCPT and ICD coding familiarity
Benefits
- Fully remote work environment – work from anywhere globally
- Global safety net providing worldwide health, income, and travel coverage
- Minimum of four weeks of vacation per year
- A new laptop when you need one
- Potential to unlock equity compensation, yearly home office allowance and more!
Last updated Sep 30, 2026. Interested? Apply on the company site.
About SafetyWing
Health insurance for remote teams
At SafetyWing, we’re building a global social safety net for remote workers—simple health, insurance, and retirement products designed to replace national welfare systems.
consumer-health-servicesinsuranceremote-work
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