Claims Associate
Why is Health Advocate a great place to work? For starters, Health Advocate employees enjoy helping people every single day. Employees are given the training they need to do their jobs well, and they work with supervisors and staff who are supportive and friendly. Employees have room to grow, and many of Health Advocate's supervisors are promoted from within the company. Join our award winning team!
2025:
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Stevie® Awards for Sales & Customer Service: Customer Service Department of the Year – Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner
2024:
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Excellence in Customer Service Awards: Organization of the Year (Small)
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Stevie® Awards for Sales & Customer Service: Customer Service Department of the Year – Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner
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Best in Biz Awards: Most Customer-Friendly Company of the Year – Medium and large category (Silver)
As part of Teleperformance in the US, we were also named #95 in the 2024 ‘Fortune 100 Best Companies to Work For®’ in the USA by Great Places to Work (GPTW®)
Join Us as a Claims Advocate
At Health Advocate, we’re on a mission to simplify healthcare and empower our members to navigate their benefits with confidence. If you’re passionate about problem-solving and creating positive outcomes for others, this is your opportunity to make a meaningful impact.
As a Claims Associate, you’ll do more than resolve billing issues—you’ll be a trusted resource for members, helping them understand their benefits, navigate complex claims, and find resolutions. Your attention to detail and commitment to exceptional service will transform challenges into solutions and build trust with every interaction.
Basic Function
Responsible for handling assigned cases in a timely manner to identify opportunities to resolve the issue by working with plan documents, carriers, providers, and members; research billing issues to determine the possible cause of the error and assist with claims resubmission when needed to correct the issue; assist members with setting up payment arrangements which may include reaching out to healthcare providers to determine payment options and discussing options with supervisor; exercise exceptional customer service skills in an effort to optimize each contact with the member.
Major Job Accountabilities
Claims Associate Functions - Provide first-line assistance for member’s questions relating to post-service coverage of medical treatment or services which includes researching and resolving benefit claims issues, billing discrepancies, coding errors, insurance claims processing issues, and educating members on the components of their benefit plan coverage which ensuring adherence to corporate and department policies and procedures
- Handle assigned cases in a timely manner to identify opportunities to resolve the issue by working with plan documents, carriers, providers, and members
- Research plan information and identify where there may be conflicting information which may include escalating to supervisor or other levels of management for clarification and assistance
- Research billing issues to determine the possible cause of the error and assist with claims resubmission when needed to correct the issue
- Assist members with setting up payment arrangements which may include reaching out to healthcare providers to determine payment options and discussing options with supervisor
- Utilize a variety of resources to research and resolve billing issues (e.g., plan documents, summary plan documents, benefits summaries, open enrollment material interpretation of benefits, understanding of medical coverage)
- Remain current on knowledge of Flexible Spending Accounts (FSA), Health Reimbursement Accounts (HRA), Health Spending Accounts (HSA), and benefits Summary Plan Descriptions (SPD) to resolve billing issues
- Exercise exceptional customer service skills in an effort to optimize each contact with the member
- Ensur