Help people get fair outcomes on their medical claims from the comfort of your home. If you’re detail-oriented, love digging into documentation, and want a stable remote role in healthcare benefits, this is in your lane.
About Allied Benefit Systems
Allied Benefit Systems is a national leader in healthcare benefits administration, partnering with employers to design and manage customized benefit plans. The company focuses on improving member experiences, controlling costs, and simplifying the complexity of medical claims. You’ll be joining a team that values accuracy, service, and strong partnerships with clients and vendors.
Schedule
- Full-time, remote position
- Standard business hours (details may vary by team)
- Must have reliable high-speed internet (cable or fiber) with minimum speeds of 100 Mbps download / 25 Mbps upload
- Role requires consistent availability for phone and online communication
What You’ll Do
- Log, track, and monitor all appeals received related to the Allied Advocate program
- Review appeals and supporting documentation to determine appropriateness and next steps
- Analyze Summary Plan Documents to evaluate the validity of appeals
- Compose appeal responses when needed and coordinate final responses with business partners
- Communicate with internal departments, clients, and partners to clarify information and move appeals toward resolution
- Document appeal status and outcomes in the Qiclink system and related databases
- Prioritize incoming referrals to ensure all tasks are completed within required timeframes
- Perform other related duties as assigned to support the appeals process
What You Need
- Bachelor’s degree or equivalent relevant work experience
- At least 2 years of hands-on experience handling medical claims appeals
- Strong knowledge of medical claims processing and ability to analyze complex claim situations
- Proficiency with Microsoft Office Suite and the ability to learn new systems quickly
- Excellent verbal and written communication skills
- Strong analytical, problem-solving, and organizational skills with sharp attention to detail
- Proven time management skills and ability to consistently meet deadlines
- Comfort working in a remote environment and communicating via phone and digital tools
Benefits
- Competitive hourly pay range of $20.00–$21.00, plus Total Rewards package
- Medical, Dental, and Vision insurance
- Life and Disability insurance coverage
- Generous Paid Time Off
- Tuition Reimbursement
- Employee Assistance Program (EAP)
- Technology stipend to support your remote work setup
Ready to put your claims expertise to work in a fully remote role with real impact? Apply while this opportunity is open.
Your next solid work-from-home move might start here—don’t sit on it.
Happy Hunting,
~Two Chicks…