Claims Processor

Carrot Fertility•Des Moines, IA

1d•Onsite

About The Position

Carrot is the leading global fertility and family care platform, built on intelligent care orchestration: the right clinical guidance, at the right moment, in the context of each member’s life. More than a thousand multinational employers, health plans, and health systems trust Carrot to support millions of members across 195 countries – from pre-pregnancy through menopause and major life moments in between. Carrot's comprehensive clinical program delivers industry-leading cost savings for plan sponsors and award-winning experiences and improved outcomes for millions of people worldwide. Carrot is widely regarded as a defining force in healthcare innovation as a recipient of several top-tier awards, including Fast Company's 'Most Innovative Companies' and CNBC's '100 Barrier Breaking Startups'. The company is regularly cited by leading global outlets — including The Economist, Bloomberg, The Wall Street Journal, NPR, ABC News, and Harvard Business Review — as a leading voice on digital health, the future of work, and family health. Learn more at get-carrot.com . The Opportunity 🚀 You'll report to our Manager, Payments, and support Carrot’s existing members and internal business partners to ensure the best possible experience. In this role, you will be responsible for adjudicating member out-of-pocket expenses, supporting eligibility checks, tracking the life cycle of claims, and reviewing member transactions incurred using the Carrot Card. You will collaborate and cross-functionally work with other teams in the organization to ensure that payment for applicable care is quickly and accurately facilitated. This role will respond in a timely manner to member needs, questions, and requests pertaining to their claims. Additionally, this role requires a tech-savvy, process-oriented person with superb written communication skills and an interest in furthering Carrot’s mission of affordable and accessible fertility and family forming care for all. This is an onsite position in West Des Moines, IA. The schedule is Monday-Friday from 10:00 am to 7:00 pm CST. Training will take place over the first 4-6 weeks, between the hours of 8:00 am and 7:00 pm CST.

Requirements

Bachelor’s degree (required)
Availability to work Monday through Friday between the hours of 10AM-7PM CST
Adaptable to a fast-paced, ever changing work environment with an ability to continually learn, obtain information, and retain information essential to helping members
Highly detail-oriented with superior multi-tasking skills
Ability to work independently with little management or direction on routine duties or projects
Exceptional verbal and written communication skills with an ability to empathetically support a diverse member population
Strong problem-solving skills to analyze, troubleshoot and resolve issues

Nice To Haves

Knowledge with insurance regulations and industry best practices
Experience working at a fast-growing tech company or digital health company
Proficiency and comfort using business tools (e.g., Jira, Confluence, Zendesk, Airtable, G-Suite)

Responsibilities

Process 53+ claims each working day, maintaining a quality assurance score of 93% or higher
Promptly and empathetically attend to member questions
Support both US and non-complex global claims, including Carrot Card transactions
Provide direct support on post-adjudication impacts to claims (ex: Refunds, Reconciliations, Adjustments)
Provide on-call member support via Pagerduty as needed