Claim Technician

Health Care Service Corp.; Brooklyn Heights (TN); Hybrid; USD 37,000 - 54,000; Full time

Benefits offered by this job

Health benefits

401(k) savings plan

Pension plan

Paid time off

Paid parental leave

Disability insurance

Life insurance

Employee assistance program

Paid holidays

Tuition reimbursement

Incentives

Job summary

Health Care Service Corporation (HCSC) is seeking a claims processor to handle complex medical claims with attention to coordination of benefits and timely resolution of pended claims. The role starts onsite in Nashville, with a transition to primarily remote work after about eight weeks.

The ideal candidate will have a high school diploma or GED, data entry experience, and strong written and verbal communication skills, plus experience processing medical claims.

Qualifications

• High School diploma or GED.
• Data entry and/or typing experience.
• Clear and concise written and verbal communication skills.
• Experience processing medical claims.

Responsibilities

• Responsible for processing complex claims requiring further investigation, including coordination of benefits and resolving pended claims.
• This role will start onsite in Nashville and move to primarily work from home after ~8 weeks with periodic in-office training.

Skills

Data entry

Typing experience

Written communication

Verbal communication

Medical claims processing

Education

High School diploma or GED

Tools

Blue Chip claims system

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary Under Supervision, This Position Is Responsible For Processing Complex Claims Requiring Further Investigation, Including Coordination Of Benefits And Resolving Pended Claims.

Required Job Qualifications:

• High School diploma or GED.
• Data entry and/or typing experience.
• Clear and concise written and verbal communication skills.
• Experience processing medical claims.

Preferred Job Qualifications:

• Referral preference given to applicants able to take and meet testing criteria.
• Must have trained on the six-eight-week Blue Chip claims processing system or have the ability to fully complete the six-eight-week Blue Chip Training class.
• Knowledge of medical terminology and CPT, HCPCS, and ICD9 coding.
• Knowledge of coordination of benefits principles and terminology.
• Experience with multi-tasking and prioritizing.

This role will start onsite in our Nashville office. After apx 8 weeks the role will move to primarily work from home with periodic in office training or duties as business needs dictate. We expect the work schedule will fall primarily within Monday - Friday 8am-5pm.

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees.

• health and wellness benefits
• 401(k) savings plan
• pension plan
• paid time off
• paid parental leave
• disability insurance
• supplemental life insurance
• employee assistance program
• paid holidays
• tuition reimbursement
• plus other incentives

Base Pay Range $17.75 - $26.17 Exact compensation may vary based on skills, experience, and location.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

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For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans.

To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions.

We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace.

Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment.

HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants.

If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process.

If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions.

Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.