[Hiring] Claims Processor REMOTE USA
Position: Claims Processor
Date Posted: November 20, 2025
Industry: Healthcare / Insurance
Employment Type: Full Time
Experience: Two years of claims adjudication and processing experience or equivalent
Qualification: Two-year degree and/or relevant experience in claims processing; knowledge of insurance principles is a plus
Salary: $24 – $26.44 per hour
Location: United States REMOTE
Company: Sana
Description:
Sana is redefining healthcare by making it simpler, more affordable, and seamless for members and employers alike. Our integrated Sana Care model connects members to unlimited primary care and expert navigation at no additional cost, making even complex healthcare journeys easier to manage.
We are looking for a dedicated Claims Processor to join our distributed team. In this role, you will process insurance claims accurately and efficiently, ensure compliance with health plan policies, resolve disputes, and provide support to members and internal teams. This is an opportunity to directly impact members’ experiences while contributing to a collaborative and innovative workplace.
Key Responsibilities:
- Ensure timely and accurate adjudication and payment of medical claims following established policies, maintaining detailed records.
- Process appeals and dispute claims by gathering, verifying, and resolving claim information while communicating outcomes effectively.
- Serve as an internal expert on claims processes, providing guidance to Customer Success and Support teams.
- Identify operational challenges and escalate them appropriately to internal teams.
- Contribute to continuous improvement of claims workflows and operational integration.
- Work independently and collaboratively to meet daily and weekly processing targets.
Candidate Profile:
- Exceptional attention to detail and thoroughness in completing tasks.
- Strong written and verbal communication skills.
- Ability to work independently and collaboratively in a distributed team.
- Entrepreneurial, self-directed, and quick learner.
- Ability to meet deadlines and manage workload under pressure.
- Prior claims processing experience and knowledge of insurance procedures are advantageous.
Benefits:
- Fully remote work with flexible vacation policy.
- 100% company-paid employee medical, dental, and vision insurance.
- 401(k), FSA, and HSA plans.
- Paid parental leave, short and long-term disability, life insurance.
- Competitive stock options and transparent compensation.
- Career development programs and a one-month paid sabbatical after 5 years.
- Home office setup stipends and ongoing learning budgets.
- Direct positive impact on members’ lives with daily feedback.
Compensation:
$24 – $26.44 per hour (40 hours/week, US-based remote). Final offers are determined by experience and expertise.
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