Entry-Level Workers' Comp Claims Specialist

Blue Cross Blue Shield of Michigan; Lansing (MI); On-site; USD 48,000 - 81,000; Full time

Job summary

Blue Cross Blue Shield of Michigan is seeking an entry-level professional claim handler for medical and indemnity benefits. You will verify coverage, determine compensability, and evaluate causal relationships to ensure appropriate payment and reserves. The role includes facilitating return to work and negotiating settlements within authority.

The position requires a bachelor’s degree and at least one year of related experience (claims trainee accepted). Bilingual skills are preferred.

Qualifications

• Bachelor’s degree or equivalent combination of education and experience.
• Minimum one-year relevant experience or completion of claims trainee program.
• Bilingual skills preferred.

Responsibilities

• Verifies workers’ compensation coverage of employers and injured employees.
• Determines compensability under workers’ compensation by investigation of the claim.
• Determines causal relationship between injury and incident for payment of benefits.
• Facilitates return to work for the injured employee.
• Establishes reserves based on claim profile within authority.

Skills

Computer skills

Medical terminology

Workers' compensation knowledge

Communication skills

Negotiation

Multitasking

Attention to detail

Teamwork

Education

Bachelor's degree in related field

Job description

Blue Cross Blue Shield of Michigan is seeking an entry-level professional claim handler for medical and indemnity benefits. You will verify coverage, determine compensability, and evaluate causal relationships to ensure appropriate payment and reserves. The role includes facilitating return to work and negotiating settlements within authority.

The position requires a bachelor’s degree and at least one year of related experience (claims trainee accepted). Bilingual skills are preferred.