Claims Processor I

Sidecar Health is redefining health insurance. Our mission is to make excellent healthcare affordable and accessible for everyone. We know that to accomplish this lofty mission, we need driven people who will make things happen.

The passionate people who make up Sidecar Health’s team come from all over, with backgrounds as tech leaders, policy makers, healthcare professionals, and beyond. And they all have one thing in common—the desire to fix a broken system and make it more personalized, affordable, and transparent.

If you want to use your talents to transform healthcare in the United States, come join us!

About the Role

The Claims Processor is responsible for accurately reviewing, validating, and entering medical claims information in accordance with Sidecar Health policies and processing guidelines. This role ensures claim completeness, identifies discrepancies, and escalates complex or unusual cases appropriately while maintaining high standards for productivity, quality, and compliance. The Claims Processor documents all activity thoroughly within internal systems, adheres to established workflows, and consistently meets performance expectations in a metrics-driven environment.

This role is ideal for someone who thrives in a fast-paced environment, enjoys organization and accuracy, and takes pride in getting the details right.

Job Responsibilities

Identify and enter basic procedure codes, diagnosis codes, and claims information as required

Validate claim data for completeness and follow up on missing or unclear information

Review claim documentation to ensure it aligns with Sidecar Health policies and processing rules

Flag discrepancies or unusual information to senior processors or supervisors for further review

Adhere to productivity, quality, efficiency, and attendance expectations

Maintain accurate work records, notes, and documentation within claims systems

Follow established workflows and escalate issues when needed

Participate in training sessions to build knowledge, system proficiency, and claims processing skills

Collaborate with peers in huddles, sharing questions, blockers, and process insights

Provide feedback on claim processing instructions and help identify opportunities to simplify or improve workflows

Uphold confidentiality and compliance requirements, including HIPAA

Support special projects, seasonal workflows, or cross-functional initiatives as assigned

Review internal audit results and take corrective steps to improve accuracy and prevent future errors

Requirements

3+ years of experience in claims processing, medical billing, healthcare administration, or a related operational role (or equivalent experience in a regulated, process-driven production environment)

Experience working in high-production environments where output, idle time, and quality metrics are monitored, and performance is transparent

Strong sense of ownership and accountability - takes responsibility for outcomes, follows claims through resolution, and does not rely on transferring work to avoid errors or complexity

Member-first mindset, recognizing that claim accuracy, turnaround time, and responsible ownership directly affect members’ access to care and financial wellbeing

Ability to manage multiple claims simultaneously while meeting defined service-level agreements (SLAs)

Strong analytical skills with the ability to identify discrepancies, investigate root causes, and apply policy accurately rather than processing transactions mechanically

Proficiency navigating multiple systems and tools simultaneously, with the ability to learn new platforms quickly

High level of professionalism and discretion when handling sensitive health and financial information in compliance with regulations (e.g., HIPAA)

Ability to work independently in a remote environment with demonstrated accountability, consistent output, and responsiveness during scheduled work hours

Exceptional attention to detail and a commitment to accuracy when reviewing and entering claim information

Exposure to claims processing platforms or healthcare operations systems

Ability to work effectively in a remote environment

What Success Looks Like

Consistently meets productivity, quality, and turnaround standards in a high-volume, metrics-driven environment

Maintains high accuracy with minimal rework or downstream impact

Processes claims timely and compliantly per company and regulatory guidelines

Manages workload effectively with focus, accountability, and sustained output

Communicates clearly and escalates issues proactively

Takes full ownership of work through resolution

Contributes to workflow improvements and backlog reduction

Continues developing skills to handle increasing complexity within claims operations

Why You'll Love Working at Sidecar Health

At Sidecar Health, you will be part of a mission-driven company redefining health insurance and building a more transparent, member-first experience. The work you do directly impacts our members’ access to care and financial wellbeing.

You will collaborate with a supportive, high-performing team that values accountability, ownership, and continuous improvement. We believe in developing our people and creating clear pathways for growth across data operations, claims, and analytics.

What You'll Get

Competitive hourly compensation and equity opportunities

Medical, Dental, and Vision benefits with no waiting period

Paid vacation and company holidays

Company-provided IT equipment (laptop, monitors)

Ongoing opportunities for professional development and career advancement

Sidecar Health adopts a market-based approach to compensation, where base pay varies depending on location and is further influenced by job-related skills and experience. The current expected hourly rate for this position is $23.00 - $25.00.

Sidecar Health is an Equal Opportunity employer committed to building a diverse team. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.