Help members get fair outcomes on their medical claims without ever stepping into an office. In this role, you’ll own the appeals process behind the scenes, making sure claims are reviewed accurately, documented clearly, and moved toward resolution.
About Allied Benefit Systems
Allied Benefit Systems is a national healthcare benefits administrator that partners with employers to design and manage flexible health plans. The company focuses on smarter plan design, responsive service, and customized solutions that improve member experiences while managing costs. As part of the Claims team, you’ll help uphold that standard when claims are challenged.
Schedule
- Full-time, fully remote position
- Standard business hours (specific schedule may vary by team)
- Remote-friendly culture with strong focus on communication and reliability
- Must have cable or fiber internet with at least 100 Mbps download / 25 Mbps upload speeds
What You’ll Do
- Log, track, and monitor all appeals received under the Allied Advocate program
- Review appeals and supporting documentation to determine appropriateness and next steps
- Review Summary Plan Documents to assess the validity of each appeal
- Compose appeal responses when needed and route documentation to business partners for review and resolution
- Communicate with internal departments, clients, and partners regarding appeal status and required information
- Document appeal status and outcomes in Qiclink and related databases
- Coordinate appeal responses with business partners and follow up on aging appeals
- Prioritize incoming referrals and tasks to ensure deadlines and turnaround times are met
- Perform other duties as assigned to support the appeals workflow
What You Need
- Bachelor’s degree or equivalent work experience
- At least 2 years of comprehensive experience handling medical claims appeals
- Strong working knowledge of medical claims processing
- Proficiency with Microsoft Office Suite and ability to learn new systems
- Excellent verbal and written communication skills
- Strong analytical and problem-solving skills
- High level of organization and attention to detail
- Proven time management skills with the ability to meet deadlines consistently
Benefits
- Competitive hourly pay range of $20.00–$21.00, based on experience and qualifications
- Comprehensive Total Rewards package
- Medical, Dental, and Vision insurance
- Life and Disability insurance
- Generous Paid Time Off
- Tuition Reimbursement
- Employee Assistance Program (EAP)
- Technology stipend to support your remote work setup
If you’re ready to put your claims and appeals experience to work in a fully remote, detail-driven role, this is a strong fit.
The right candidates won’t wait on a role like this—get your application in while it’s open.
Happy Hunting,
~Two Chicks…