Senior Claims Processor - Hybrid, End-to-End

Blue Shield of CA; San Diego (CA); Ibrido; USD 85.000 - 105.000; Tempo pieno

Vantaggi offerti da questo lavoro

Hybrid work arrangement

Descrizione del lavoro

Blue Shield of CA is seeking a Claims Processor, Specialist to join our Claims Operations team in California. You will ensure claims are processed accurately and timely and act as the primary contact for priority cases, interfacing with other departments and vendors as needed.

This hybrid role requires 7 years of relevant experience and a strong foundation in health plan processing operations, with advanced skills in Microsoft Office applications.

Competenze

• High School Diploma or GED or 1 year of additional relevant experience in lieu of a diploma required.
• 7 years of prior relevant experience required.
• Thorough knowledge of advanced health plan processing operations and end-to-end claims processing.

Mansioni

• Process claims accurately and timely and interface with other departments and vendors.
• Serve as the primary point of contact for priority claim cases.
• Collaborate with leadership to drive continuous process improvements.

Conoscenze

Claims processing

Formazione

High School Diploma or GED, or 1 year of relevant experience in lieu of diploma

Strumenti

Excel

Outlook

PowerPoint

Word

Descrizione del lavoro

Blue Shield of CA is seeking a Claims Processor, Specialist to join our Claims Operations team in California. You will ensure claims are processed accurately and timely and act as the primary contact for priority cases, interfacing with other departments and vendors as needed.

This hybrid role requires 7 years of relevant experience and a strong foundation in health plan processing operations, with advanced skills in Microsoft Office applications.