Member Claims Associate at Collective Health

Lehi, Utah, United States -

Full Time

Start Date

Immediate

Expiry Date

05 Jan, 26

Salary

21.5

Posted On

07 Oct, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Claims Processing, Research, Problem Solving, Teamwork, Communication, Healthcare Knowledge, Regulatory Compliance, Medical Coding, Customer Service, Critical Thinking, Adaptability, Attention to Detail, Ownership, Curiosity, Efficiency Improvement, Scalability

Industry

Hospitals and Health Care

Description

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design. Collective Health is growing its Member Services team in Lehi, Utah! As part of our Member Services team, each Member Claims Associate operates core processes to run our employer-sponsored medical plans and assists our members with some of their most complex claims issues. Member Claims Associates gain a comprehensive understanding of medical plan operations—processing medical claims, researching and responding to complicated member issues, and handling details related to regulatory requirements, our network partner relationships, and medical coding. Member Claims Associates do all this with the lens of continuing to delight our members as part of the Member Services Team. As a Member Claims Associate, you can expect to learn and become a professional in the payer-side of healthcare. With the support of our established and knowledgeable teams, you will be an important contributor to scaling our operations and collaborating on a growing team at the forefront of redefining the healthcare industry. Start Date and Training Hybrid Training (Tues/ Wed) and Hybrid Full Time work (2 days in office) Start date: November 3, 2025 You must be available for 4 weeks of required training beginning on the start date through Nov 3- Dec 5. You will not be able to take time off during the training period. What you'll do: Execute the daily operations of a health plan, including processing medical claims, researching and responding to our members' most complicated questions, tracking your accuracy around core metrics, and troubleshooting the many operational challenges that affect our business Be part of the team that is continuously adapting to improve efficiency and scalability Think critically and strategically to continually boost teamwork and communication across offices Gain additional skills across different areas of our business over time Develop in-depth industry expertise in the healthcare economy Cultivate a culture that aligns with Collective Health values and incorporates the unique aspects of our team Reporting to the Manager of Member Claims, this is an essential role on our Customer Experience team To be successful in this role, you'll need: Above all, you are driven, curious, and take ownership for everything you do You can become proficient with a large volume of information quickly You are a committed team player You are excited to build and adapt to the adventures of working on a growing team You are passionate about being a part of a fast-growing company You have a passion for Collective Health's mission to transform the health insurance experience for employers and their employees Nice to have: Bachelor's degree or 1 or more years of work experience Pay Transparency Statement This is a hybrid position based out of our Lehi office, with the expectation of being in office at least two weekdays per week. #LI-hybrid The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the hourly rate, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/. Lehi, UT Pay Range $21.50—$21.50 USD Why Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Responsibilities

Member Claims Associates execute daily operations of health plans, including processing medical claims and responding to complex member inquiries. They also track accuracy around core metrics and troubleshoot operational challenges.