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 Youll 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 Youll 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.