Senior Government Claims Intake & Case Management Specialist – Championing Customer Service Excellence in Remote Public‑Sector Claims – Full‑Time Opportunity at brighthush

Welcome to brighthush: Pioneering Public‑Sector Claims Excellence

In today’s fast‑evolving public‑sector landscape, agencies face an unprecedented blend of regulatory complexity, budget constraints, and technological disruption. brighthush has positioned itself at the forefront of this transformation, delivering end‑to‑end claims processing solutions that empower government entities, workers’ compensation boards, disability programs, and health plans to serve their communities with speed, accuracy, and transparency. Every year, we process more than 200,000 insurance claims, leveraging cutting‑edge technology, rigorous compliance frameworks, and a culture of relentless improvement to ensure that every claim is handled with integrity and exceptional customer experience.

Why brighthush is the Ideal Place for Your Next Career Move

At brighthush, we believe that the best work is done by people who are empowered, challenged, and celebrated. Our remote‑first model gives you the flexibility to work from anywhere while staying connected to a vibrant, collaborative culture. We invest in our people through structured onboarding, mentorship, continuous learning, and clear career pathways. Whether you are a seasoned professional or just starting out in customer service, brighthush offers a dynamic environment where your contributions matter and your career can flourish.

Role Overview

As a Senior Government Claims Intake & Case Management Specialist, you will be the first point of contact for new claim cases. Your meticulous attention to detail and proactive problem‑solving will ensure each case is accurately documented, assigned, and tracked through to resolution. You will collaborate closely with cross‑functional teams—including physicians, reviewers, and leadership—to streamline workflows, resolve bottlenecks, and continuously improve service quality. Your work will directly impact the integrity of our processes, compliance standards, and the overall experience of our clients and internal stakeholders.

Key Responsibilities

• Intake & Verification: Receive new cases via phone, email, or portal; verify completeness of information; identify missing data and coordinate with clients to obtain necessary documentation.
• Case Drafting: Enter case details into brighthush’s proprietary systems, ensuring data accuracy and adherence to federal NSA regulations.
• Assignment & Scheduling: Allocate cases to appropriate physicians or reviewers based on location, availability, jurisdictional requirements, and conflict‑of‑interest policies.
• Case Oversight: Monitor case progress, track deadlines, and proactively flag potential bottlenecks to keep the workflow on schedule.
• Client Communication: Provide regular updates to clients, clarify referral information, and maintain professional, courteous interactions at all times.
• Compliance & Reporting: Ensure all activities comply with federal regulations, internal policies, and client agreements; generate and interpret reports to support decision‑making.
• Continuous Improvement: Participate in special projects, process enhancements, and cross‑functional initiatives to elevate service quality.

Essential Qualifications

• Associate’s degree or equivalent experience in healthcare, insurance, or a related field.
• Minimum of 1–2 years of experience in a customer‑service or claims environment.
• Strong understanding of federal NSA regulations and compliance requirements.
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and experience with case‑management software.
• Excellent verbal and written communication skills.
• Demonstrated ability to manage multiple priorities, meet deadlines, and maintain high accuracy.
• Conflict resolution and de‑escalation skills.

Preferred Qualifications

• Experience in a government or public‑sector claims setting.
• Knowledge of medical terminology and insurance billing processes.
• Previous exposure to remote work environments and self‑management of technology.
• Certifications related to claims processing or customer service (e.g., Certified Claims Professional).

Core Competencies & Skills

• Customer Focus: Passion for delivering exceptional service and building lasting client relationships.
• Problem‑Solving: Ability to analyze complex situations and develop effective solutions.
• Time Management: Prioritize tasks, meet deadlines, and maintain productivity in a fast‑paced environment.
• Integrity & Professionalism: Uphold ethical standards and represent brighthush with dignity.
• Team Collaboration: Work effectively with cross‑functional teams, including leadership, physicians, and support staff.
• Adaptability: Thrive in a dynamic setting and embrace change to improve processes.

Career Growth & Learning Opportunities

At brighthush, we believe in investing in our people. You will have access to:

• Structured onboarding and mentorship programs that pair you with seasoned leaders.
• Regular training sessions on industry regulations, emerging technologies, and soft‑skill development.
• Clear career pathways to roles such as Senior Claims Analyst, Process Improvement Lead, or Program Manager.
• Opportunities to lead cross‑departmental projects and influence strategic initiatives.
• Access to industry conferences, webinars, and certification programs at no cost.

Work Environment & Culture

Our remote‑first model empowers you to work from anywhere while staying connected to a vibrant, collaborative culture. You’ll receive:

• Apple laptop and accessories to create a productive home office.
• Media stipend to cover high‑speed internet and other work‑related expenses.
• Regular virtual team‑building events and quarterly all‑hands meetings.
• A culture that celebrates diversity, inclusion, and continuous improvement.
• Access to a digital wellness program, including mental health resources and virtual fitness classes.

Compensation & Benefits

While specific salary ranges vary by experience and location, brighthush offers a competitive compensation package that includes:

• Health, dental, and vision coverage for you and your family.
• Voluntary life insurance options for you, your spouse, and children.
• Basic life, short‑term disability, and long‑term disability coverage at no cost.
• Generous paid time off (PTO) policy to recharge and maintain work‑life balance.
• 401(k) plan with company match to support your long‑term financial goals.
• Additional voluntary benefits such as hospital indemnity, critical illness, accident indemnity, and pet insurance.
• Annual professional development stipend to support your growth.

How to Apply

Ready to make a difference in the public‑sector claims landscape? Submit your application through our careers portal and join a team that values innovation, integrity, and impact. We look forward to learning how your skills and passion can help us shape the future of public‑sector claims management.

Conclusion

As a Senior Government Claims Intake & Case Management Specialist at brighthush, you’ll play a pivotal role in ensuring that government clients receive timely, accurate, and compliant claims processing. Your dedication to customer excellence, combined with our supportive culture and commitment to professional growth, creates a powerful partnership for success. If you’re driven, detail‑oriented, and eager to contribute to a mission‑critical organization, we encourage you to apply today and help us shape the future of public‑sector claims management.