Claims Associate

Job Description

Job Description

Healthcare quality is declining and soaring costs are crushing American families and businesses. At Garner, we've developed a revolutionary approach to evaluating doctor performance and a unique incentive model that's reshaping the healthcare economy to ensure everyone can afford high quality care. By providing organizations relief from surging healthcare costs, we've experienced rapid adoption in the market and have more than doubled our revenue annually over the last 5 years, becoming the fastest growing company in our space. To support our continued growth, we're expanding our team by over 50% each year, seeking exceptional talent to shape our unique, award winning culture (for example, USA Today Top Workplaces 2025) designed to cultivate teamwork, trust, autonomy, exceptional results, and individual growth that creates an inflection point in your career.

About the role :

We're looking for a full-time Claims Associate to join our high-growth Claims team.

The Claims team is responsible for ensuring that our members' claims get paid accurately and quickly. We do this by evaluating claim submissions and supporting members through the process. Ultimately, we strive to deliver a best-in-class "claims experience" for every member.

In this role, you will be on the front line of our team, evaluating claim submissions and interacting with members via chat, email, and phone to help them navigate the claims process. You will become an expert on Garner's product, claims processing standards, and the needs of our members. The Claims team is a key touchpoint for our members, so you should be passionate about helping people and a proactive problem solver.

To ensure that we can respond to issues in real time, Associates have some schedule requirements. Current operations run weekdays during East Coast hours of 8am to 10pm, though that may change in the future as needs dictate.

This position is fully remote.

What you will do :

• Evaluate claims to determine whether they qualify for reimbursement
• Deliver exceptional service to our members via phone, chat, and email, offering education and guidance to help them navigate the Garner claims process
• Follow documented best practices for handling claims and communicating with members; suggesting process improvements as you identify them
• Manage and organize workload using Garner's platform and tools, including Zendesk and G Suite
• Achieve pre-defined goals for efficiency, responsiveness, and quality
• Triage and escalate complex and urgent member situations
• Retain detail-oriented working knowledge of Garner processes and healthcare billing practices
• Relay member feedback to leadership teams to improve Garner's solution

What you will bring to the team :

Compensation Transparency :

The base compensation for this position is : $18-$22 / hr. This position will also include a $0.50 additional hourly bump for English / Spanish bilingual candidates. Individual compensation for this role will depend on various factors, including qualifications, skills, and applicable laws. In addition to base compensation, this role is eligible to participate in our equity incentive and competitive benefits plans, including but not limited to : flexible PTO, Medical / Dental / Vision plan options, 401(k) with company match, flexible spending accounts, Teladoc Health and more.

Fraud and Security Notice :

Please be aware of recent job scam attempts. Our recruiters use getgarner.com email domain exclusively. If you have been contacted by someone claiming to be a Garner recruiter or a hiring manager from a different domain about a potential job, please report it to law enforcement here and to candidateprotection@getgarner.com.

Equal Employment Opportunity : Garner Health is proud to be an Equal Employment Opportunity employer and values diversity in the workplace. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, genetic information, political views or activity, or other applicable legally protected characteristics.

Garner Health is committed to providing accommodations for qualified individuals with disabilities in our recruiting process. If you need assistance or an accommodation due to a disability, you may contact us at talent@getgarner.com.