Claims Operations Supervisor, Garner Health
$60-75k
Offers equity
Data-powered doctor search tool
Open for applications
Data-powered doctor search tool
101-200 employees
Open for applications
$60-75k
Offers equity
101-200 employees
Company mission
To transform the healthcare economy, delivering high quality and affordable care for all.
Role
Who you are
- 4+ years of relevant experience with increasing levels of responsibility in a customer support or operations role
- Experience managing a team and driving excellent results
- A passion for helping people solve their problems, with an ability to think creatively and empathetically while staying calm under pressure
- A track record of continuously improving processes and maintaining team resources
- Excellent written and verbal communication skills
- A high level of process-orientation, digital organization, and resourcefulness
- A desire to work in a rapidly evolving startup environment
- A desire to be a part of our mission to improve the U.S. healthcare system
What the job involves
- We’re looking for a Claims Operations Supervisor to join our Claims Processing team
- The Claims Processing team ensures that our members’ claims get paid accurately and quickly 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 lead a team of Claims Processors whose role is to review claims and interact directly with members
- You will become an expert on Garner’s product, claims processing standards, and the needs of our members
- You will manage the team’s performance, ensure we hit our processing metrics, serve as an escalation point for complex member issues, and improve the team’s processes
- So that we can respond to issues in real-time, the Claims Operations Supervisor will have some coverage requirements
- Current operations run weekdays during East Coast business hours, though that may change in the future as needs dictate
- Garner is headquartered in NYC, but this position is remote
- Oversee the quality and efficiency of a team of Claims Processors and ensure all key performance metrics are being met by the team
- Serve as an escalation point for complex claims submissions; for complex escalations, work directly with members, delivering exceptional service via phone, chat, and email
- Train the team on policies and best practices, answer team questions, roll out new processes, and manage team members’ individual performance
- Identify areas of improvement in current processes and continuously improve workflows, scripting, policies, and other team resources
- Answer questions from cross-functional stakeholders about specific cases and general claims processes
- Maintain a detailed working knowledge of Garner processes and healthcare billing practices
Our take
An overworked US healthcare system has resulted in long waits and expensive prices. Due to rising costs, the health insurance industry often leads to patients not accessing the care that they need. Garner Health creates digital services that allow patients to find a medical expert that fits their specific needs, whatever their insurance circumstances are.
The startup provides an app that analyses local health-insurance claims history through AI. This data is used to recommend local medical professionals that will work with a patient's circumstances whilst providing direct communication channels for liaising. This helps patients to identify the highest-quality doctors and helps doctors improve how they practice medicine.
Despite other companies providing similar bespoke healthcare services, Garner Health shows a cutting edge by partnering with patient employers. This provides the financial incentive that employers must cover all or a portion of medical expenses, making healthcare financially accessible for all involved. The company has good funding at its back, and in 2022 partnered with Marathon Health towards reducing the inefficiencies of specialty referrals.
Steph
Company Specialist at Welcome to the Jungle
Insights
Company
Funding (last 2 of 3 rounds)
Dec 2021
$45m
SERIES B
Feb 2021
$12.5m
SERIES A
Total funding: $61.3m
Company values
- Mission First - Our mission is to transform our healthcare system. Everything else is secondary.
- Extraordinary or Nothing - Our mission is audacious. We only succeed by producing exceptional results.
- Communicate Courageously - We say what needs to be said even when challenging.
- Supportive Community - Our path is difficult, so we spend extra time supporting each other on the journey. It’s also more fun that way.
Company HQ
Flatiron District, New York, NY
Articles
Leadership
Nick Reber
(CEO)They studied Mathematics at Brown before joining Bridgewater Associates as a Senior Investment Associate in 2006. Left Bridgewater in 2016 to join Oscar Health's Leadership Team. Founded Garner in 2018.
Share this job
View 22 more jobs at Garner Health