Help people get their health benefits handled right, without sitting in a call center all day. In this role, you’re the behind-the-scenes problem solver making sure claims move, issues get resolved, and members actually feel taken care of.
About Allied Benefit Systems
Allied Benefit Systems is a national healthcare benefits administrator partnering with employers to design and manage group health plans. The company focuses on flexibility, service, and customized solutions that help clients control costs while supporting their members. You’ll be part of an operations team that keeps things moving and makes the claims experience smoother for everyone involved.
Schedule
- Full-time, fully remote role
- Standard business hours (specific schedule may vary by team)
- Remote-friendly culture with strong focus on communication and responsiveness
- Must have reliable cable or fiber internet with minimum speeds of 100 Mbps download / 25 Mbps upload
What You’ll Do
- Serve as a liaison between members, internal administrative teams, and clients to ensure smooth claim handling
- Use Outlook and internal systems to communicate claim status and responses to members, agents, and partners
- Investigate open claims to ensure timely processing of payments and advocate for members throughout the process
- Manage and facilitate multiple claim functions, including HRA RX claim reviews, RRTs, special claim requests, and escalations
- Push failed claims over $10K through the IPAO process and track them until completion
- Support the Administrator team as needed and help resolve claim issues across departments
- Process fee claims for Case Management, Enhanced Case Management, HRA Pharmacy claims, and other vendor-related fees
- Demonstrate strong understanding of workflows and business processes to support BPO client service strategy
- Help foster a sense of urgency and accountability so customer expectations are met or exceeded
- Assist with escalations and various ad hoc projects as assigned
What You Need
- Bachelor’s degree or equivalent work experience
- 2+ years of experience in an administrative or data entry role
- Group health insurance/benefits or medical claims experience preferred
- Strong analytical and problem-solving skills, with the ability to prioritize and follow through
- Excellent verbal and written communication skills
- Strong organizational skills and attention to detail
- Proven ability to manage time effectively and meet deadlines in a high-paced environment
- Comfortable working remotely in a computer-based, desk-focused role
- Proficiency with Microsoft Office Suite and ability to learn new systems quickly
Benefits
- Competitive hourly pay range of $23.00–$25.00, based on qualifications and experience
- 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 bring your detail skills and follow-through to a remote role where operations actually matter, this is your cue to jump in.
Strong candidates move fast on roles like this—don’t overthink it.
Happy Hunting,
~Two Chicks…