Use your medical claims experience to solve real problems instead of watching claims bounce back and forth. This fully remote Appeals Specialist role lets you own the appeals process from start to finish, making sure members and clients get clear, accurate outcomes.
About Allied Benefit Systems
Allied Benefit Systems is a Chicago-based third-party administrator that partners with employers nationwide to design and manage self-funded health plans. They focus on flexible, cost-effective benefits backed by strong operational support, clinical programs, and client service. Allied runs a remote-friendly culture where detail-oriented, accountable people can thrive from anywhere.
Schedule
Full-time, fully remote position based out of Chicago, Illinois.
Standard weekday business hours in a computer-based/home office environment.
Requires reliable high-speed internet via cable or fiber (at least 100 Mbps download / 25 Mbps upload) for systems access and virtual collaboration.
What You’ll Do
- Log and track all appeals received under the Allied Advocate program.
- Review appeals and supporting documentation to assess completeness and appropriateness.
- Review Summary Plan Documents (SPDs) to determine the validity of appeals.
- Document claim specifics and appeal details in internal systems (including Qiclink and databases).
- Route appeal documentation to internal business partners for review and resolution.
- Coordinate and follow up with business partners on aging appeals to keep cases moving.
- Compose appeal responses when necessary and communicate outcomes clearly.
- Communicate with other departments and clients as needed to clarify information and support resolution.
- Prioritize incoming referrals to complete all tasks within required timelines.
- Perform other appeals-related duties as assigned.
What You Need
- Bachelor’s degree or equivalent work experience.
- At least 2 years of comprehensive experience handling medical claims appeals.
- Proficiency with Microsoft Office Suite or similar software.
- Ability to analyze claim situations and take appropriate, informed actions.
- Strong verbal and written communication skills.
- Solid analytical and problem-solving skills.
- Excellent organizational skills, attention to detail, and time management.
- Ability to learn new systems and adapt to process changes.
- Comfort sitting for long periods and communicating by phone in a remote environment.
Benefits
- Hourly pay in the range of $20.00–$21.00, based on experience and qualifications.
- Fully remote work with a supportive, remote-friendly culture.
- Medical, Dental, Vision, Life, and Disability insurance.
- Generous Paid Time Off.
- Tuition Reimbursement and Employee Assistance Program (EAP).
- Technology stipend to support your home office setup.
Appeals roles that let you specialize in medical claims, stay fully remote, and build a real career path don’t stay open forever.
If you’re confident with claims, love digging into details, and want to be the person who gets appeals over the finish line, this is your move.
Happy Hunting,
~Two Chicks…