Claims Operations Specialist

Who We Are

Personify Health is a personalized health platform that brings health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. We serve employers, health plans, and health systems with data‑driven solutions that reduce costs while improving health outcomes. Our mission is to empower people to lead healthier lives.

Because health is personal, we created the first and only personalized health platform. Learn more about our work at

• Serve as the onsite liaison: act as the primary point of contact for all walk‑in clients.
• Process claims accurately: review, analyze, and adjudicate healthcare claims to ensure completeness and compliance.
• Conduct member interviews: meet claimants in person to obtain information, clarify discrepancies, and explain claims processes.
• Respond to inquiries: handle questions from walk‑ins, callers, and written correspondence regarding health plans, policies, and procedures.
• Maintain quality standards: complete thorough review and examination of each claim.
• Ensure accurate setup: review plan documents and vendor information, verify system setup, and identify potential errors or issues.
• Meet production requirements: complete claims tasks in a timely manner while maintaining quality standards and benchmarks.
• Support client relationships: coordinate with internal staff and vendor partners to ensure customer and member satisfaction across all touchpoints.
• Contribute to team success: support management with special projects and requests as business needs require.

• High school diploma or equivalent required.
• Associate or Bachelor's degree in healthcare administration or related field preferred.
• 3+ years of healthcare claims examination or adjudication experience.
• Prior experience with both manual and automated claims processing.

• Strong knowledge of medical terminology, CPT/ICD‑10 coding, and healthcare billing procedures.
• Expertise in multiple claims processing platforms a plus.
• Proficient in Microsoft Office (Word, Excel, Outlook).
• Ability to maintain confidentiality and handle sensitive information with discretion.

• Serve as the onsite liaison near Eagle Rock, Los Angeles, California (90041).
• Reside within driving distance of the office.
• Must be available Monday–Thursday, 8:00 AM–4:30 PM, and Friday, 7:00 AM–3:30 PM.

• Competitive base salary and benefits effective day one.
• Comprehensive medical and dental through our own health solutions.
• Paid Time Off—rest and recharge time is non‑negotiable.
• Mental health support, retirement planning, and financial protection.
• Professional development with clear career progression and learning budgets.
• Mission‑driven culture where diverse perspectives drive real impact on people’s health.

Visit  to explore our complete benefits package, wellness programs, and other employee perks.

Compensation
:
This position offers a base salary range of $20.00–$25.00 per hour, depending on location, skills, and experience. You're eligible for our full benefits package starting day one.

Personify Health is an equal opportunity employer committed to diversity, equity, inclusion, and belonging. We cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive.

Personify Health will never ask for payment or sensitive personal information like social security numbers during hiring. All official communication comes from verified company email addresses and our secure applicant tracking system. Report suspicious requests to  View all legitimate openings at