Dynamic Claims Examiner — Entry to Senior Path

Excellus BCBS; City of Rochester (NY); Remote; USD 28,000 - 45,000; Full time

Job summary

Excellus BCBS in New York is seeking a Claims Examiner to handle front end transactions, eligibility checks, and claims processing with a focus on accuracy and privacy. The role advances across levels with increasing responsibility and independence.

Candidates should have a high school diploma, relevant experience, and the ability to navigate multiple Windows-based programs. There may be remote work opportunities within our Talent Acquisition framework.

Qualifications

• High School diploma or equivalent required.
• Relevant customer service or claims processing experience preferred.
• Capacity to continuously develop skills needed for growth.
• Basic computer skills; able to navigate Windows and multiple programs.

Responsibilities

• Handle front end transactions including eligibility, entry of claims and claim processing.
• Identify patterns that impact quality, claims inventory and customer experience.
• Process, enter, adjudicate and/or adjust and research claims.
• Collaborate with internal departments and maintain privacy standards.

Skills

Customer service

Claims processing

Analytical reasoning

Multitasking

Attention to detail

Education

High School diploma or equivalent

Tools

Windows applications

Job description

Excellus BCBS in New York is seeking a Claims Examiner to handle front end transactions, eligibility checks, and claims processing with a focus on accuracy and privacy. The role advances across levels with increasing responsibility and independence.

Candidates should have a high school diploma, relevant experience, and the ability to navigate multiple Windows-based programs. There may be remote work opportunities within our Talent Acquisition framework.