Claims Support Specialist

Blue Cross Blue Shield of Michigan; Northern (KY); Remote; USD 39,000 - 66,000; Full time

Job summary

Blue Cross Blue Shield of Michigan is seeking an administrative support professional to assist the Claims Team with calling, note-taking, file closures, and preparation of file reviews. The role involves computing medical bill payments related to workers’ compensation and ensuring timely payments.

Ideal candidates will have 2+ years in administration, familiarity with insurance terminology, and strong data entry and organizational skills to manage multiple priorities and meet deadlines.

Qualifications

• High school diploma or GED required.
• Two years of administrative experience preferred.
• Experience in an insurance environment or workers' compensation knowledge preferred.
• Medical terminology knowledge is a plus.

Responsibilities

• Supports the customer service work and processes for the multi-functional claims team.
• Answers general claim inquiries from providers and verify claim status.
• Collaborates with team members to ensure timely handling of claims.
• Supports the account management process for the team's book of business.
• Computes proper payment for medical bills for non-indemnity and simple indemnity claims.
• Provides administrative support using word processing and spreadsheets.
• Ensures payments are accurate and files are closed to meet internal standards.
• Adheres to the Employee Code of Ethical Conduct.
• Completes other duties and special projects as requested.

Skills

Independence

Oral & written communication

Customer service

Multitasking

Microsoft Windows

Attention to detail

Data entry accuracy

Education

High school diploma or GED

Insurance coursework or equivalent experience

Job description

Blue Cross Blue Shield of Michigan is seeking an administrative support professional to assist the Claims Team with calling, note-taking, file closures, and preparation of file reviews. The role involves computing medical bill payments related to workers’ compensation and ensuring timely payments.

Ideal candidates will have 2+ years in administration, familiarity with insurance terminology, and strong data entry and organizational skills to manage multiple priorities and meet deadlines.