Remote Medical Claims Specialist — Complex Claim Resolution

HCSC Group; Richardson (TX); Hybrid; USD 37,000 - 54,000; Full time

Job summary

Health Care Service Corporation (HCSC) seeks a Claims Technician to start onsite in Richardson, TX, handling complex medical claims and coordinating benefits. The role shifts to primarily remote work after approximately six weeks, with in-office training as needed.

Typical hours are Monday–Friday, 8am–5pm. Requirements include a high school diploma or GED, data entry or typing experience, and strong written and verbal communication skills, plus experience processing medical claims.

Qualifications

• High school diploma or GED required.
• Experience processing medical claims is required.
• Clear and concise written and verbal communication skills.

Responsibilities

• Process complex claims requiring investigation and coordination of benefits.
• Resolve pending claims and ensure timely adjudication.
• Work with internal teams to ensure accurate claim processing.

Skills

Data entry

Communication skills

Medical claims processing

Typing experience

Education

High School diploma or GED

Tools

Blue Chip claims processing system

Job description

Health Care Service Corporation (HCSC) seeks a Claims Technician to start onsite in Richardson, TX, handling complex medical claims and coordinating benefits. The role shifts to primarily remote work after approximately six weeks, with in-office training as needed.

Typical hours are Monday–Friday, 8am–5pm. Requirements include a high school diploma or GED, data entry or typing experience, and strong written and verbal communication skills, plus experience processing medical claims.