Our Story
At Alight, we believe a company's success starts with its people. Alight embraces values that come directly from our people - purposeful, human, united and growth-minded - reflecting our inclusive culture and promise that our clients expect. We are passionate about connecting purpose with impact. Alight empowers clients to build a healthier and more financially secure workforce by unifying the benefits ecosystem across health, wealth, wellbeing, navigation, and absence management.
Our Benefits
With a comprehensive total rewards package, Alight offers programs and plans that support your mind, body, wallet, and life. Benefits include health, dental and vision coverages starting Day One. Additionally, Alight colleagues enjoy wellbeing programs, retirement plans with contribution matching, generous time off, parental leave, continuing education, and career growth opportunities - all within a thriving global organization.
Flexible Working
So that you can be your best at work and home, we consider flexible working arrangements wherever possible. Alight has been a leader in the flexible workspace and "Top 100 Company for Remote Jobs" 6 years in a row.
Great Place to Work
Thanks to the work of every colleague, Alight has received multiple awards of recognition including "Great Place to Work" for the past 7 years and Fortune's "Best Companies to Work For." To learn more about our company culture and awards Click Here.
We invite you to join our team! Learn more at careers.alight.com.
We are now hiring ambitious, motivated Claim Analysts to work in our team focused, premier healthcare navigation business. In this role, you will be leveraging acquired knowledge to deliver high quality customer interactions that are consultative and lead to better healthcare outcomes. Through this role, you will have the opportunity to positively impact the lives of employee customers and their families, while driving increased benefit satisfaction and reducing healthcare spend for their employers.
We Offer You
A competitive total rewards package, continuing education & training, and tremendous potential with a growing worldwide organization:
A full Benefits Package, starting on your first day of employment
Health, Dental, Vision, Life Insurance and more.
A 401k plan that includes a corporate match.
Paid Time Off
Career Development & Growth:
We provide ongoing training, coaching and development. We reward continuous improvement and encourage you to own your own development. Take advantage of some of the best training and tools in the world to learn more about multiple areas of Human Resources!
Alight provides a collaborative environment that embodies and holds the following stated values close to heart: Champion people, Grow with purpose, and Be Alight.
As a Claims Analyst, you can expect the following:
When you start, you will receive extensive health care training to ensure you are equipped to consult members on billing related issues
Your primary responsibility is to be an advocate for members by working on their behalf with carriers, providers, and plan related documentation to resolve post-service coverage questions and/or issues in an accurate and timely manner. Activities include, but are not limited to the following:
Assist in reviewing medical, dental, vision, and pharmacy related claims for accuracy to ensure members are receiving the proper benefit coverage according to plan stipulations
Coordinate with providers and carriers to solve billing discrepancies, coding errors, and denied claims; assist with claim resubmission, as necessary
Draft, submit, and exhaust appeals processes, as necessary
Partner directly with client to bring awareness to unique care/billing situations that may require special review
Coordinate with providers to determine payment plan and discount options
This work involves leveraging developed methodologies, navigating internal tools, and applications, as well as making external phone calls, and partnering with carriers and providers (via email and phone outreach) to resolve member needs. The scope of work is dedicated at the employee level and you will be responsible for working cases through resolution.
Required Qualifications
Bachelor's Degree, Associate's Degree with 2 years billing/insurance experience, or 3 years' experience in a healthcare billing/insurance related role
Ability to work effectively in a remote team environment
Strong problem solving, reasoning, and analytical skills
Exceptional verbal and written communication skills - ability to articulate complex billing concepts for members that are not experts
Strong ability and desire to learn continually in a changing environment
Ability to efficiently organize work activities to meet deadlines
Passion to provide the highest level of client satisfaction
Ability to receive and immediately apply constructive feedback
Ability to develop effective rapport with clients based on empathy and trust
Preferred Qualifications
Expertise and current knowledge of Medicare, Health accounts (FSA, HRA, HSA), and claims adjudication process
Application and Interview
By applying for a position with Alight, you understand that, should you be made an offer, it will be contingent on your undergoing and successfully completing a background check consistent with... For full info follow application link.
Alight Solutions provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, pregnancy, childbirth or related medical condition, veteran, marital, parental, citizenship, or domestic partner status, or any other status protected by applicable national, federal, state or local law. Alight Solutions is committed to a diverse workforce and is an
