Claims Administrator

About the opportunity

Machinify is a leading healthcare intelligence company that delivers value, transparency, and efficiency to health plan clients through a fully configurable and content-rich, AI-powered platform. The Claims Administrator role supports efficient claims processing and ensures data accuracy.

What you’ll do

• Review incoming claims, assign statuses, organize data, and route files to auditors.
• Collaborate with teams to manage the import queue, reconcile balances, validate charges, correct errors, and route files.
• Oversee file intake and output, addressing inquiries, discrepancies, and errors.
• Analyze data trends and communicate updates on claims routing, efficiency, inventory, and volume.
• Monitor file-sharing processes, ensure data transfer accuracy, and maintain appropriate volume levels.
• Perform data entry and support additional administrative tasks as needed.

What experience you bring (Role requirements)

• Preferred experience in medical record review and knowledge of medical terminology.
• Proficient in Microsoft Office Suite, Adobe Acrobat, and multi-monitor setups; adaptable to company-specific software.
• Strong attention to detail, organizational, analytical, and critical thinking skills.
• Excellent interpersonal and teamwork abilities, capable of collaborating across functions and driving change.

What success looks like...

• After 3 months: Gain a strong understanding of the role, build relationships, establish effective time and priorities management, receive initial feedback, and gain confidence.
• After 1 year: Master tasks and responsibilities, establish a strong network of internal relationships, be entrusted with greater responsibility, and see opportunities for career progression.

Pay and benefits

• Pay range: $24.00 USD per hour. Non-exempt position.
• Benefits: PTO, Paid Holidays, and Volunteer Days; eligibility for health, vision and dental coverage, 401(k) plan participation with company match, and flexible spending accounts; tuition reimbursement; company-paid benefits including life insurance, short-term disability, and parental leave; remote and hybrid work options.