Principal Claims Examiner
Job
Yuzu is a health insurance TPA focusing on supporting a variety of health plans designed around care navigation, capitated primary care, and real-time payments. Yuzu’s business model is different from other TPAs because we focus on supporting plan designers that themselves serve as care-navigators, contract negotiators, and salespeople for the plans they invent. Yuzu supports these plans by processing claims, performing compliance processes, and building technology to handle custom payment flows and collaboration.
We have grown to the point (>2000 covered lives) that we are ready to take on a fulltime claims adjuster. In this role
You will have high standards for precision, accuracy, and fairness
You will process claims according to new health insurance plan designs
You will identify and communicate risks and opportunities in our current claims processes.
You will help prioritize feature development of our claims software
Qualifications
You have to be an ethical and compassionate person.
You have a health insurance adjuster license or willingness to get one quickly
You have experience in healthcare claims processing, ideally at a mid-sized TPA in the self-funded space.
You have to be comfortable working in unstructured environments.
You have an interest in innovative healthcare financing and payment models.
In-person 4-5 days/week in Chelsea NYC office strongly preferred
Nice-to-haves
Background or aptitude in accounting and/or stoploss claims filing
Experience running compliance processes at TPAs
Interest in technology
Anti-Qualifications
You’d like to be hired for your connections / relationships / reputation rather than the work and insights you produce.
You like, believe in, or feel satisfied by the bureaucratic nature of the current healthcare administrative landscape.
You like meetings.
You like to make decisions by committee.
Our Commitment to You
Significant equity and competitive compensation
Approximately $95k-$145k in annual salary depending on equity desired and location
Flexible $2000/year education stipend for learning and upskilling
We are a high-trust team with radically high transparency and autonomy
Process
If we interview you, you can expect the following process
Initial 30-45 minute conversation with either Will or Russell
Follow-up conversation with either Will or Russell
A 2 hour take-home assignment designed to be similar to on-the-job work
An onsite interview
We may speak with 1-2 references you provide
Additional Reading
Apply by emailing jobs@yuzu.health or if you feel like it just call our customer support number at 203-208-9898 and ask for Russell.