Claims Processor

Carrot
Des Moines
Workplace: OnsiteFull timeUSD 24 - 28 hourlyFunction: Insurance & ActuarialEducation: bachelorsSkills: ["Empathetic support","Communication","Detail-oriented","Multi-tasking","Problem-solving"]

Adjudicate members’ out-of-pocket expenses and eligibility checks, processing 53+ claims per day while maintaining quality standards. Support members’ questions with empathy and professionalism, including Carrot Card transactions and post-adjudication impacts such as refunds and adjustments. Collaborate with internal partners to ensure accurate, timely payment facilitation, and provide on-call member support via PagerDuty as needed.

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FursaFursa
Carrot
Carrot
5 hours ago

Claims Processor

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI
Last checked: 5 hours agoStatus: Live
Reposted: similar role first listed 3 months ago

Job Summary

Adjudicate members’ out-of-pocket expenses and eligibility checks, processing 53+ claims per day while maintaining quality standards. Support members’ questions with empathy and professionalism, including Carrot Card transactions and post-adjudication impacts such as refunds and adjustments. Collaborate with internal partners to ensure accurate, timely payment facilitation, and provide on-call member support via PagerDuty as needed.
Location: Des Moines
Workplace: Onsite
Employment Type: Full time
Job Function: Insurance & Actuarial
Seniority: Entry level

Key Responsibilities

  • •Process 53+ claims each working day while maintaining a quality assurance score of 93% or higher.
  • •Promptly and empathetically attend to member questions.
  • •Support US and non-complex global claims, including Carrot Card transactions.
  • •Provide direct support on post-adjudication impacts such as refunds, reconciliations, and adjustments.
  • •Provide on-call member support via PagerDuty as needed.

Pay and Benefits

Salary: USD 24 - 28 hourly
Equity and Bonus:Equity
Perks:Paid LeaveSick TimeParental LeaveEquity

Key Requirements

  • •Bachelor’s degree (required).
  • •Availability to work Monday through Friday between 10AM–7PM CST.
  • •Highly detail-oriented with strong multi-tasking skills.
  • •Exceptional verbal and written communication skills with the ability to empathetically support a diverse member population.
  • •Strong problem-solving skills to analyze, troubleshoot, and resolve issues.
Education:Bachelor's
Skills:Empathetic supportCommunicationDetail-orientedMulti-taskingProblem-solving
Tech Stack:PagerDutyJiraConfluenceZendeskAirtableG-Suite

Company Brief

Carrot
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Industry: HealthTech
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