Intermediate Workers' Comp Claims Specialist

Blue Cross Blue Shield of Michigan; California (MO); Remote; USD 56,700 - 94,900; Full time

Job summary

Blue Cross Blue Shield of Michigan seeks Claim Representatives I, II, and III in California. These positions involve verifying insurance coverage, investigating claims, and facilitating return-to-work processes. Candidates should have a bachelor’s degree and relevant experience, with skills in negotiation, customer service, and knowledge of workers' compensation laws. The salary range for these roles is between $56,700 and $94,900, and bilingual skills are preferred.

Qualifications

• Minimum one year relevant experience or completion of claims trainee program.
• Bilingual skills preferred.
• Three years experience for Claim Representative II, handling workers’ compensation.

Responsibilities

• Verifies workers’ compensation coverage.
• Determines compensability by thorough investigation.
• Facilitates return to work for injured employees.

Skills

Computer proficiency

Knowledge of medical terminology

Knowledge of workers’ compensation laws

Effective communication skills

Customer service skills

Negotiation skills

Analytical skills

Ability to work independently

Detail-oriented

Education

Bachelor's degree in a related field

Job description

Blue Cross Blue Shield of Michigan seeks Claim Representatives I, II, and III in California. These positions involve verifying insurance coverage, investigating claims, and facilitating return-to-work processes. Candidates should have a bachelor’s degree and relevant experience, with skills in negotiation, customer service, and knowledge of workers' compensation laws. The salary range for these roles is between $56,700 and $94,900, and bilingual skills are preferred.