Claims Processor
Des Moines, IA - USA
Job Summary
About Carrot:
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 members 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. Carrots 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 Companys Most Innovative Companies and CNBCs 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 .
The Opportunity
Youll report to our Manager Payments and support Carrots existing members and internal business partners to ensure the best possible 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 Carrots 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.
What Youll Own
In this role you will:
- 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
What Success Looks Like
In your first 1218 months you will have:
- Consistently processed claims accurately efficiently and in accordance with plan guidelines and established procedures.
- Build strong working knowledge of our benefit systems workflows and quality standards.
- Meet or exceed role-specific productivity turnaround-time and quality expectations.
- Resolve member and partner questions with professionalism empathy and clear communication.
- Identify potential errors missing information and process issues before they create unnecessary delays.
- Demonstrate sound judgment when escalating complex or unusual claims for additional review.
- Contribute ideas that improve the claims experience reduce rework and strengthen team efficiency.
- Become a trusted teammate who supports a reliable fair and positive experience for every member.
About You
You likely have:
- Bachelors 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 Have
While not required we would be especially excited if you bring:
- 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)
Why This Role Matters
As a Claims Processor you play a critical role in helping members access their Carrot benefit. By reviewing claims accurately applying plan guidelines consistently and resolving questions with care and empathy youll help deliver a fair timely and dependable claims experience.
Your attention to detail will make a meaningful difference for every person who submits a claim. Youll help reduce delays prevent errors protect the integrity of the claims experience and ensure payments are processed smoothly. This is an opportunity to build trust through thoughtful service while contributing to a high-quality experience for members and partners.
Interview Process
We believe in a thoughtful and transparent interview process designed to create alignment for both candidates and our team.
For this role candidates can expect:
- Recruiter Screen 30 minutes
- Hiring Manager Interview 30 minutes
- Take-Home Performance Task 20 minutes
- Leadership Conversation 30 minutes
Throughout the process we will share additional context about the team business priorities customer landscape and what success looks like in this role.
Why Candidates Join Carrot
Carrot offers the opportunity to do meaningful work in service of a deeply human mission.
Highlights include:
- A mission-driven company focused on expanding access to fertility and family-forming care globally.
- A high-growth environment where leaders are empowered to shape strategy and drive impact.
- Competitive compensation equity and comprehensive benefits.
- Flexible Time Off and a culture that actively encourages employees to recharge.
- Comprehensive parental leave and family-forming benefits.
- A collaborative inclusive and values-driven culture.
- The opportunity to work alongside passionate thoughtful teammates committed to improving healthcare outcomes worldwide.
Compensation
Carrot offers a holistic total rewards package designed to support our employees in all aspects of their life inside and outside of work including health and wellness benefits retirement savings plans short- and long-term incentives paid time off sick time parental leave family-forming assistance and a competitive compensation package. This is a non-exempt position with a base pay of $24.00-$28.00 per hour plus a addition this role may include variable compensation based on performance. Overtime pay will apply when required and paid overtime may be necessary during peak periods. The actual rate of pay will be determined based on job-related skills and experience.
Fraud and Security Notice: Please note that all communication regarding job opportunities at Carrot will come exclusively from an @ email address. If you receive messages from any other domain please disregard them and report the incident to:
A Note on AI
At Carrot we believe AI can help us work smarter move faster and create more meaningful experiences for our members customers and each other. While not every role requires deep technical AI expertise we value people who are curious eager to learn and excited to thoughtfully incorporate AI into their day-to-day work.
For some roles AI fluency is a core requirementand well call that out clearly in the qualifications. For everyone else were looking for people who embrace new ways of working use AI responsibly to improve quality and efficiency and continue to learn as the technology evolves.
Why Carrot
Carrot has received national and international recognition for its pioneering work including Fast Companys Most Innovative Companies and World Changing Ideas Inc. Power Partners and Modern Healthcares Innovators. Carrots global workforce has been acknowledged with several accolades including Fortunes Best Workplaces in Healthcare Great Place to Work and Age-Friendly Employer certifications. Carrot is regularly featured in media reporting on issues related to the future of work women in leadership and healthcare innovation including MSNBC The Economist Bloomberg The Wall Street Journal CNBC National Public Radio Harvard Business Review and more. Learn more at .