FreshRemote.Work

Claims Quality Control Analyst - Remote

Hi, we're Oscar. We're hiring a Claims Quality Control Analyst to join our Claims Quality team.

Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role

The Claims Quality Control Analyst is responsible for supporting process improvement and issue resolution in the Oscar claim environment with a focus on high dollar & high risk claims. The analyst will be responsible for root-cause analysis and end-to-end process improvement initiatives.

You will report to the Claims Quality Control Associate Lead.

Work Location: 

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.  

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington …

Hey, this job isn't fresh anymore!

Search Fresh Jobs

Job Profile

Countries

United States

Benefits/Perks

11 paid holidays 401(k) plan participation Employee benefits Life and Disability insurance Medical, dental, and vision benefits Monthly vacation accrual Paid holidays Paid parental leave Paid sick time Paid wellness time and reimbursements

Skills

Analytics Auditing Claims processing Compliance Data analysis Excel Leadership Operations Process Improvement Root Cause Analysis Technology

Tasks
  • Compliance
  • Compliance with laws and regulations
  • Data Analysis
  • Other duties as assigned
  • Process Improvement
Experience

2+ years

Restrictions

In-office requirement for certain locations Must reside in specified states