Claims Support Advocate

Your primary objective is to provide effective and timely customer service for members, providers, insurers and clients regarding health care claims

Ensure timely follow-up on requests for accounts to be reviewed

Organize health insurance paperwork and medical record documentation

Demonstrate knowledge of proprietary software and other required technology (Google apps, Slack, etc)

Communicate timely status updates to patients throughout the claims process

Negotiate with providers on plan member balances

Appeal claim denials from the insurance company

Contact providers and insurance companies to resolve claim concerns

Assist with understanding of explanation of benefits (EOBs)

Assisting members with resolving claim errors or denials. Ideally to recoup or lower their medical expenses

Collaborate with peers and management across functions

Understand the evolving business requirements and adapt the operational processes to meet those requirements

Speak clearly, confidently and maintain professionalism as well as friendly member interactions while demonstrating persuasion in overcoming objections

Ability to handle a fast-paced, dynamic environment with competing priorities

Model a culture reflective of our core company values

Gain and retain a thorough understanding of the team and company policies, processes, software, etc

Including other duties and responsibilities as assigned by leadership

Prompt and regular attendance at assigned work location.

Ability to remain seated in a stationary position for prolonged periods.

Requires eye-hand coordination and manual dexterity sufficient to operate keyboard, computer and other office-related equipment.

No heavy lifting is expected, though occasional exertion of about 20 lbs. of force (e.g., lifting a computer / laptop) may be required.

Ability to interact with leadership, employees, and members in an appropriate manner.

The United States new hire base salary target ranges for this full-time position are:

Zone A: $22.84 - $29.69 
Zone B: $25.13 - $32.66 
Zone C: $27.41 - $35.63 
Zone D: $29.69 - $38.60 

This range reflects the minimum and maximum target for new hire salaries for candidates based on their respective Zone. Below is additional information on Included Health's commitment to maintaining transparent and equitable compensation practices across our distinct geographic zones.

Starting base salary for the successful candidate will depend on several job-related factors, unique to each candidate, which may include, but not limited to, education; training; skill set; years and depth of experience; certifications and licensure; business needs; internal peer equity; organizational considerations; and alignment with geographic and market data. Compensation structures and ranges are tailored to each zone's unique market conditions to ensure that all employees receive fair and competitive compensation based on their roles and locations. Your Recruiter can share details of your geographic alignment upon inquiry.



This position is a temp-to-hire role, if converted to a FTE, in addition to receiving a competitive base salary, the compensation package may include, depending on the role, the following: 

• Remote-first culture
• 401(k) savings plan through Fidelity
• Comprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance)
• Full suite of Included Health telemedicine (e.g. behavioral health, urgent care, etc.) and health care navigation products and services offered at no cost for employees and dependents 
• Generous Paid Time Off ("PTO") and Discretionary Time Off (“DTO")
• 12 weeks of 100% Paid Parental leave
• Family Building Benefit with fertility coverage and up to $25,000 for Surrogacy & Adoption financial assistance
  • Compassionate Leave (paid leave for employees who experience a failed pregnancy, surrogacy, adoption or fertility treatment) 
  • 11 Holidays Paid with one Floating Paid Holiday
  • Work-From-Home reimbursement to support team collaboration and effective home office work 
  • 24 hours of Paid Volunteer Time Off (“VTO”) Per Year to Volunteer with Charitable Organizations

Your recruiter will share more about the specific salary range and benefits package for your role during the hiring process.

Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. We’re on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community — no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It’s all included. Learn more at includedhealth.com.