Icon hamburger

Create Job Alert.

Enter your email below to save this search and receive job recommendations for similar positions.
Thank you. We'll send jobs matching these to
No Thanks
What job do you want?

Create Job Alert.

Get similar jobs sent to your email

Apply to this job.
Think you're the perfect candidate?
Apply Now

You’re being taken to an external site to apply.

Enter your email below to receive job recommendations for similar positions.

Do you want to sign in or apply as a guest?


Claims Specialist

Health Advocate Plymouth Meeting, PA Full-Time
Apply Now

Create Job Alert.

Get similar jobs sent to your email

  Health Advocate is a leading provider of Advocacy and health benefits support. We have grown every year since our Launch in 2001. We continue to grow and provide health support solutions to our clients and members. Health Advocate offers a comprehensive training program and opportunities to grow your career learning multiple aspects of health benefit coverages and services.

We offer Great Benefits!

The benefits package for this position includes very generous Paid Time Off (PTO), paid holiday policy, tuition reimbursement and a 401(k) with a match. Health Advocate has an on-site fitness facility, yoga classes, Employee Assistance Program, wellness programs, and employee activities to support employees with various goals.

Job Summary:

  • A Claims Specialist at Health Advocate is a dedicated service professional who understands benefit plans and wants to help members.
  • A successful candidate will work on the members’ behalf to understand claims adjudication guidelines and resolve medical billing issues for our membership.
  • It’s a rewarding position that encompasses investigation and communication skills
  • If you have previous health experience, this role may be a good fit for applying your current claims knowledge to truly help members

Essential Job Functions:

  • Handle some escalated and complex cases in a timely manner to identify opportunities to resolve the issue by working with plan documents, carriers, providers and member
  • Research plan information and identify where there may be conflicting information
  • Research billing issues to determine the possible cause of the error, and assisting with claims re-submission when needed to correct the issue
  • Serve as a resource of help to other claims specialists who need assistance and have questions on their cases
  • Working with these resources to analyze and resolve billing issues:
  • Plan documents and plan benefits
  • Interpretation of benefits
  • Medical, dental, vision, behavioral health billing and claims adjudication
  • FSA, HRA and HSA plans


Minimum requirements:

  • Bachelor’s degree and/or 2-3 years claims experience
  • Strong research and analytical skills
  • Ability to work independently and escalate for assistance as needed
  • Strong communication ability to work with various internal and external parties to resolve member issues
  • Excellent organizational, time management, and customer service skills
  • Ability to proactively identify payer and provider trends

Recommended skills

Health Reimbursement Arrangement
Time Management
Apply to this job.
Think you're the perfect candidate?
Apply Now

Help us improve CareerBuilder by providing feedback about this job: Report this job

Report this Job

Once a job has been reported, we will investigate it further. If you require a response, submit your question or concern to our Trust and Site Security Team


For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.

By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.