Claims Research Associate: Medical Claims & Inquiries

Blue Cross and Blue Shield of Alabama; Birmingham (AL); On-site; USD 32,000 - 42,000; Full time

Job summary

Blue Cross and Blue Shield of Alabama is seeking a Claims Research Associate-High School Graduate for full‑time, on‑site training. The role involves processing medical claims, resolving inquiries, and ensuring accurate benefit calculations during a structured ICMS program that advances through five training phases.

The position starts on site during training, with potential hybrid options after completion of all phases. Strong attention to detail and clear communication are essential for success.

Qualifications

• High school diploma or equivalent required.
• Attention to accuracy in processing and payment of claims.
• Ability to communicate clearly via email and phone.

Responsibilities

• The primary function of the Claims Research Associate is medical claims processing and inquiry resolution.
• Review claims for errors and compare member benefits to services requested.
• Update claim data, recalculate benefits, and determine correct order of benefits for payment.
• Communicate via inquiry, email and phone across company to ensure resolution.
• Complete phased ICMS training program with classroom, benchmark, and fluency phases.

Education

High School Diploma/GED

Job description

Blue Cross and Blue Shield of Alabama is seeking a Claims Research Associate-High School Graduate for full‑time, on‑site training. The role involves processing medical claims, resolving inquiries, and ensuring accurate benefit calculations during a structured ICMS program that advances through five training phases.

The position starts on site during training, with potential hybrid options after completion of all phases. Strong attention to detail and clear communication are essential for success.