Claim Technician

Dearborn Life Insurance Co; United States; Hybrid; USD 37,000 - 54,000; Full time

Job summary

Health Care Service Corporation (HCSC) seeks a claims processor under supervision to handle complex medical claims requiring investigation and coordination of benefits. The role involves resolving pended claims and ensuring accurate processing.

Training starts onsite at the Tulsa, OK facility, with a transition to remote work after completion, and occasional in-person visits for training as needed. Base pay ranges and incentive programs are described during the interview process.

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

• Process complex medical claims requiring investigation and COB coordination.
• Resolve pended claims.

Skills

Data entry

Medical claims processing

Clear communication

Attention to detail

Education

High School diploma or GED

Tools

Blue Chip training system

Job description

Company Overview

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 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 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.

Training and Location

This position REQUIRES onsite training at the Tulsa, OK facility (1400 South Boston Avenue Tulsa, OK 74119).

Upon completion of training, the role will transition to Remote. Remote employees with WFH full-time with the expectation to occasional visits to an assigned office where practical and for training which may be conducted.

Pay Transparency

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

Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. 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. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards. 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.

Benefits

• 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

Equal Opportunity 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.

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.

Accommodations

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.

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.