TEMP BPO Senior Associate

Claims Processor Location: Chicago About Avant Health Health insurance sucks. Costs are going up, people are frustrated, and insurance companies have failed us. Employers and their employees are faced with only terrible options. Avant Health is an AI-native benefits administrator (TPA) fixing healthcare benefits by designing and administering personalized and cost-effective health plans for employers, employees, and their families. Our mission is enabling coverage and care that is affordable, accessible, & understandable. In order to do that, we need to rebuild the system from the ground up, leveraging new data, tools, and technology. When we succeed, people will get the care they need, at a price they can afford. The Role You'll be at the intersection of healthcare expertise and technological innovation, processing claims while helping us build the future of benefits administration. This isn't traditional claims processing-you're not just adjudicating claims in a vacuum. You're identifying patterns, spotting edge cases, and teaching our AI systems to make better decisions. Your expertise shapes how we automate and improve. In this role, you'll bring deep claims processing knowledge to a team that's reimagining how benefits administration works. You'll process health, dental, and vision claims while actively contributing to our platform's continuous improvement. When you catch an unusual case or spot a pattern that could lead to better automation, you're not just noting it-you're helping us fix it. You'll work in an environment where your expertise directly influences product development. The edge cases you identify today become the improvements we build tomorrow. Key Responsibilities

• Process and adjudicate health, dental, and vision insurance claims with precision and efficiency
• Perform quality assurance reviews of auto-adjudicated claims to ensure accuracy and identify areas for improvement
• Analyze claim documentation to ensure accuracy, completeness, and compliance with plan benefits
• Collaborate with our technology team to identify patterns and opportunities for automation
• Share claims processing expertise with team members and contribute to knowledge base development
• Document best practices and unusual case resolutions that inform our AI systems
• Participate in the continuous improvement of our claims processing workflows
• Break down complex decision-making into clear, logical steps that can inform automation strategies What We're Looking For We value your expertise and how you think about problems as much as your technical skills. The strongest candidates share these traits: Deep Claims Expertise You've processed thousands of claims and can spot issues others miss. You understand the nuances of different plan designs, medical billing codes, and coverage determinations. You know when something looks off, even if you can't immediately articulate why. Your experience has given you an intuition for claims that only comes from years in the field. Pattern Recognition You don't just process claims one at a time-you see patterns across them. You notice when multiple claims share similar characteristics or when edge cases reveal systematic issues. You can articulate why certain claims are tricky and what makes them different. This ability to generalize from specific cases makes you invaluable in training AI systems. Structured Thinking You can break down your decision-making process into clear, logical steps. When you explain why a claim should be approved or denied, you articulate the specific criteria and reasoning. You document not just what you decided, but how you decided it. This clarity helps both humans and machines learn from your expertise. Meticulous Attention to Detail You catch what others miss-incorrect billing codes, plan coverage nuances, coordination of benefits issues. You double-check your work naturally. You understand that in healthcare claims, small errors can have significant consequences for members and employers. Your precision is automatic, not effortful. Collaborative Problem-Solving You're comfortable sharing your expertise with non-claims people, including engineers and product managers. You can explain complex claims concepts in ways that help others understand the underlying logic. You see questions about your work as opportunities to teach, not interruptions. You're genuinely interested in helping others learn what you know. Adaptability to Technology You're comfortable with rapid technological change and evolving workflows. You see AI and automation as tools that can make claims processing better, not threats to your expertise. You're curious about how technology can reduce repetitive work while preserving the judgment that requires human expertise. You're willing to learn new systems and approaches. Nice to Have
• 5+ years of experience in health insurance claims processing
• Background in benefits administration or medical billing
• History of implementing process improvements in claims operations
• Experience with multiple claims processing software systems
• Strong proficiency with spreadsheet software (Excel, Google Sheets)
• Track record of effective knowledge