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Carrot Fertility

Claims Processor (Portuguese Literate)

Posted 6 Days Ago
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Remote
Hybrid
Hiring Remotely in Menlo Park, CA
Junior
Easy Apply
Remote
Hybrid
Hiring Remotely in Menlo Park, CA
Junior
Responsible for reviewing member expenses and reimbursement requests, ensuring effective communication and support throughout the claims process to deliver exceptional member experiences.
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About Carrot:

Carrot Fertility is the leading global fertility, family-building, and lifelong hormonal healthcare platform providing care for everyone, everywhere. Trusted by more than a thousand multinational employers, health plans, and health systems, Carrot's comprehensive clinical program delivers industry-leading cost savings for employers and award-winning experiences for millions of people worldwide. From maternity through menopause and pre-pregnancy through parenting, Carrot is dedicated to expanding access and improving outcomes. Carrot empowers members with compassionate, personalized, and inclusive support.

The Role: 

In this role, you will be responsible for reviewing incoming member out-of-pocket expenses, as well as expenses incurred using the Carrot Card. You will collaborate with members of the Care team, Customer Success and Finance team to ensure an exceptional member experience. You need to be able to work between the hours of 6 am- 3 pm or 10 am-7 pm CST, while noting our operations hours are 6am-8pm CST. 

The Team: 

The Payments team is a group of compassionate and dedicated individuals focused on contributing to Carrot's mission of inclusivity and accessibility in fertility and family-forming services. This team is responsible for adjudicating all incoming member reimbursement requests, while ensuring an exceptional member experience. The team will coordinate activity with insurance payers to ensure that payment for applicable care is quickly and accurately facilitated.

Minimum Qualifications: 

  • Bachelors degree
  • 1-3 years of relevant work experience including customer service and claims processing experience
  • Fluent in Portuguese (supporting translation of documents) 
  • Highly detail-oriented with superior multi-tasking skills
  • Ability to work independently with little management or direction on routine duties or projects
  • Exceptional verbal and written communication skills
  • Strong problem-solving skills to analyze, troubleshoot and resolve issues
  • Ability to empathetically support a diverse member population through all paths to parenthood
  • An innovative spirit to push the boundaries of claims operations

Preferred Qualifications:

  • Knowledgable with insurance regulations and industry best practices
  • Experience working at a fast-growing tech company or digital health company
  • Proficiency and comfort using business tools (e.g., Jira, Confluence, Zendesk, Airtable, G-Suite)

Compensation: 

Carrot offers a holistic Total Rewards package designed to support our employees in all aspects of their life inside and outside of work, including health and wellness benefits, retirement savings plans, short- and long-term incentives, parental leave, family-forming assistance, and a competitive compensation package. The starting base salary for this position will range from $56,000-$64,000 ($26.92/hr.- $30.77/hr.). Actual compensation may vary from posted base salary depending on your confirmed job-related skills and experience.

Why Carrot?

Carrot has received national and international recognition for its pioneering work, including Fast Company's Most Innovative Companies and World Changing Ideas, Inc. Power Partners, and Modern Healthcare’s Innovators. Carrot’s global workforce has been acknowledged with several accolades, including Fortune’s Best Workplaces in Healthcare, Great Place to Work, and Age-Friendly Employer certifications. Carrot is regularly featured in media reporting on issues related to the future of work, women in leadership, and healthcare innovation, including MSNBC, The Economist, Bloomberg, The Wall Street Journal, CNBC, National Public Radio, Harvard Business Review, and more. Learn more at carrotfertility.com. 

 

Top Skills

Airtable
Confluence
Google Suite
JIRA
Zendesk

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