Claims Representative -Work From Home (Healthcare)
View Moreicons, El Paso, TX, United States
Explore meaningful roles that let you make an impact in healthcare while growing your career with purpose, innovation, and global opportunities.
Claims Representative -Work From Home (Healthcare) About Sagility Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.
Job title:
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.
Job Title:
Claims Representative -Work From Home (Healthcare)
Job Description:
Sagility, a global leader in business process management, is dedicated to enhancing the member and patient experience. By combining cutting-edge technology with decades of healthcare expertise, we deliver exceptional results for our clients.
If you are detail-oriented, analytical, and thrive in a structured environment, this is your opportunity to build a career in healthcare operations. Sagility is actively building a pipeline of qualified Claims Representatives to support upcoming classes. Early applicants will be prioritized for interview scheduling and for consideration of offers.
As a Claims Representative, you will review and process medical, dental, or supplemental insurance claims according to eligibility guidelines, benefits, and internal policies. Our structured training program prepares you for success through instructor-led virtual sessions, hands-on learning, and progressive performance goals. Once training is complete, you will be responsible for meeting established quality, productivity, and accuracy standards.
If you are motivated, reliable, and ready to grow your career in healthcare, we encourage you to apply as soon as possible.
Become Part of a Team That S.O.A.R,s!
SSpark Curiosity
OOne Team, One Direction
AAction for Results
RRight by Right Purpose
Benefits You Will Enjoy
Competitive pay: $18.00/hour
Performance-based incentives
Paid training in a cutting-edge virtual training environment
Comprehensive health coverage (available after 90 days)
Employee wellness and engagement programs.
Career advancement opportunities: 90% of our leaders started as Customer Service Representatives
What You Will Do
Review and process insurance claims accurately using internal guidelines and benefit plans
Research and navigate multiple systems and documents to validate claim details
Confirm required documentation is included and identify missing information
Verify accuracy of medical coding (CPT/ICD-10 preferred)
Evaluate eligibility, coverage, authorizations, and coordination of benefits
Identify discrepancies and resolve errors using established procedures
Maintain productivity and quality standards in a fast-paced environment
Work independently while collaborating with supervisors, coaches, and trainers
Use multiple computer applications and virtual tools such as Outlook, Webex, and internal systems
Continuously improve efficiency through feedback and training support
What You Bring
High school diploma or equivalent
Ability to quickly learn new systems and processes
Experience using Microsoft Outlook (email, calendar invites, attachments)
Basic Microsoft Excel skills (sorting/filtering)
Ability to navigate multiple systems using shortcuts and efficient workflows
Strong attention to detail and ability to follow complex procedures
Excellent time management and organizational skills
Ability to meet productivity and quality performance expectations
Experience working independently in a remote environment preferred
Familiarity with healthcare terminology, insurance claims, CPT or ICD-10 coding preferred
Previous claims processing or related administrative experience preferred
Job Requirements
Must be at least 18 years of age
Minimum 1 year of consistent employment history (customer service or administrative experience preferred)
Reliable attendance required, especially during the first 90 days
Typing speed of at least 25 WPM
Hardwired internet connection with minimum speeds of 25 Mbps download and 10 Mbps upload
Secure, private workspace free from distractions
Flexible availability, including weekends as business needs require
Benefits & Perks
Daily Pay options available
Medical, Dental, and Vision coverage
Life Insurance
Short-Term and Long-Term Disability options
Flexible Spending Account (FSA)
Employee Assistance Program
401(k) with employer contribution
Paid Time Off (PTO)
Tuition Reimbursement
Sagility is an Equal Opportunity Employer/Veteran/Disability.
Alert:
Please beware of fraudulent communications from profiles impersonating Sagility or its employees. All official communication from Sagility will come from our verified email domains: “@sagility.com” or “@sagilityhealth.com”. Sagility will never ask for payments for job offers, interviews, or otherwise. Do not respond to suspicious communications, whether via email, WhatsApp, or any social platform. For any concerns, contact us directly through our official website.
Location:
Work@Home USA United States of America
Join our team, we are looking forward to talking to you! #J-18808-Ljbffr
Claims Representative -Work From Home (Healthcare) About Sagility Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.
Job title:
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.
Job Title:
Claims Representative -Work From Home (Healthcare)
Job Description:
Sagility, a global leader in business process management, is dedicated to enhancing the member and patient experience. By combining cutting-edge technology with decades of healthcare expertise, we deliver exceptional results for our clients.
If you are detail-oriented, analytical, and thrive in a structured environment, this is your opportunity to build a career in healthcare operations. Sagility is actively building a pipeline of qualified Claims Representatives to support upcoming classes. Early applicants will be prioritized for interview scheduling and for consideration of offers.
As a Claims Representative, you will review and process medical, dental, or supplemental insurance claims according to eligibility guidelines, benefits, and internal policies. Our structured training program prepares you for success through instructor-led virtual sessions, hands-on learning, and progressive performance goals. Once training is complete, you will be responsible for meeting established quality, productivity, and accuracy standards.
If you are motivated, reliable, and ready to grow your career in healthcare, we encourage you to apply as soon as possible.
Become Part of a Team That S.O.A.R,s!
SSpark Curiosity
OOne Team, One Direction
AAction for Results
RRight by Right Purpose
Benefits You Will Enjoy
Competitive pay: $18.00/hour
Performance-based incentives
Paid training in a cutting-edge virtual training environment
Comprehensive health coverage (available after 90 days)
Employee wellness and engagement programs.
Career advancement opportunities: 90% of our leaders started as Customer Service Representatives
What You Will Do
Review and process insurance claims accurately using internal guidelines and benefit plans
Research and navigate multiple systems and documents to validate claim details
Confirm required documentation is included and identify missing information
Verify accuracy of medical coding (CPT/ICD-10 preferred)
Evaluate eligibility, coverage, authorizations, and coordination of benefits
Identify discrepancies and resolve errors using established procedures
Maintain productivity and quality standards in a fast-paced environment
Work independently while collaborating with supervisors, coaches, and trainers
Use multiple computer applications and virtual tools such as Outlook, Webex, and internal systems
Continuously improve efficiency through feedback and training support
What You Bring
High school diploma or equivalent
Ability to quickly learn new systems and processes
Experience using Microsoft Outlook (email, calendar invites, attachments)
Basic Microsoft Excel skills (sorting/filtering)
Ability to navigate multiple systems using shortcuts and efficient workflows
Strong attention to detail and ability to follow complex procedures
Excellent time management and organizational skills
Ability to meet productivity and quality performance expectations
Experience working independently in a remote environment preferred
Familiarity with healthcare terminology, insurance claims, CPT or ICD-10 coding preferred
Previous claims processing or related administrative experience preferred
Job Requirements
Must be at least 18 years of age
Minimum 1 year of consistent employment history (customer service or administrative experience preferred)
Reliable attendance required, especially during the first 90 days
Typing speed of at least 25 WPM
Hardwired internet connection with minimum speeds of 25 Mbps download and 10 Mbps upload
Secure, private workspace free from distractions
Flexible availability, including weekends as business needs require
Benefits & Perks
Daily Pay options available
Medical, Dental, and Vision coverage
Life Insurance
Short-Term and Long-Term Disability options
Flexible Spending Account (FSA)
Employee Assistance Program
401(k) with employer contribution
Paid Time Off (PTO)
Tuition Reimbursement
Sagility is an Equal Opportunity Employer/Veteran/Disability.
Alert:
Please beware of fraudulent communications from profiles impersonating Sagility or its employees. All official communication from Sagility will come from our verified email domains: “@sagility.com” or “@sagilityhealth.com”. Sagility will never ask for payments for job offers, interviews, or otherwise. Do not respond to suspicious communications, whether via email, WhatsApp, or any social platform. For any concerns, contact us directly through our official website.
Location:
Work@Home USA United States of America
Join our team, we are looking forward to talking to you! #J-18808-Ljbffr