Hybrid Claims Processor Specialist: Priority Claims Lead

Blue Shield of CA; Springfield Meadows (CA); Hybrid; USD 90,000 - 130,000; Full time

Job summary

Blue Shield of CA is seeking a Claims Processor, Specialist to join the Claims operations team. You will ensure claims are processed accurately and timely and serve as the primary contact for priority claim cases as you interface with internal departments and vendors.

This hybrid role supports virtual work with occasional in-person collaboration. The ideal candidate has advanced Excel, Outlook, PowerPoint and Word skills and a deep understanding of end-to-end claims processing.

Qualifications

• 7 years of prior relevant experience required.
• Thorough knowledge of advanced health plan processing operations within Claims Processing.
• Advanced-Expert skills creating documents/files using Excel, Outlook, Power Point, and Word

Responsibilities

• Interface with other departments and vendors involved in the Claims process.
• Serve as the primary point of contact for priority claim cases.
• Ensure claims are processed accurately and timely.

Skills

Excel

Outlook

PowerPoint

Word

Education

High School Diploma or GED

1 year of additional relevant experience in lieu of a diploma

Job description

Blue Shield of CA is seeking a Claims Processor, Specialist to join the Claims operations team. You will ensure claims are processed accurately and timely and serve as the primary contact for priority claim cases as you interface with internal departments and vendors.

This hybrid role supports virtual work with occasional in-person collaboration. The ideal candidate has advanced Excel, Outlook, PowerPoint and Word skills and a deep understanding of end-to-end claims processing.