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About Marpai Administrators

Marpai Administrators LLC is a technology-driven organization working to reshape third-party administration for employers that sponsor self-funded health plans. The company uses artificial intelligence, deep learning, and machine learning to help improve population health results while keeping plan spending efficient. Its approach focuses on identifying members who may be at risk and stepping in early with clinical support designed to improve outcomes and strengthen the health plan’s financial performance.

Position Overview

The Claims Processor role focuses on examining claims for accuracy, completeness, and eligibility, then adjudicating them according to plan rules and departmental standards. The position also requires completing assigned work, maintaining inventory, and meeting quality, production, and attendance targets.

Key Duties

Enter claim information into the processing system.
Review, evaluate, and adjudicate claims.
Check every claim for missing, incomplete, or inconsistent information.
Apply plan benefits correctly based on the plan document.
Track and manage claim inventory in line with health plan and regulatory requirements.
Stay composed and effective in stressful situations.
Finish daily work assignments and update the required spreadsheet.
Prepare end-of-day summaries.
Adapt to changes in priorities or workflow as directed by management.
Consistently meet quality, production, and attendance expectations.
Be available for overtime when business needs require it.
Handle additional tasks as assigned.

Requirements

An associate degree is preferred.
At least 2 years of claims processing experience.
Strong ability in analysis, research, and communication.
Solid knowledge of medical terminology.
Excellent spoken and written communication, plus strong organizational skills.
Ability to partner with leadership to help address emerging trends.
Sound independent judgment for decisions and problem-solving.
Intermediate or better proficiency with MS Word, Excel, PowerPoint, and Outlook.
Ability to juggle multiple tasks and anticipate issues before they arise.
High attention to detail.
Comfort working with online documentation, policies, and procedures.
Strong customer service mindset with ownership, follow-through, and task completion.
Ability to manage heavy workloads, multiple priorities, and strict deadlines.
Knowledge of HIPAA compliance.
Capacity to work in a fast-moving, dynamic setting that requires adaptability, innovation, and flexibility.
Minimal travel may be required.

Benefits

Generous paid time off.
Medical and prescription coverage.
Employee assistance program.
FSA, HSA, and dependent care options.
Dental coverage.
Vision coverage.
Life insurance and disability coverage.
Short-term and long-term disability benefits.
Voluntary coverage options including critical illness, accident, and hospital plans.
401(k) plan with employer match.
LegalShield.
Identity theft protection.

Equal Opportunity

Marpai is an equal opportunity employer and considers applicants without regard to race, color, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, or veteran status.

Work Location

This is a remote role. The location shown is Tampa, FL.

Claims Processor