Senior Claims Processor & Interdepartmental Liaison (Hybrid)

Blue Shield of CA; Oakland (CA); Hybrid; USD 95,000 - 135,000; Full time

Job summary

Blue Shield of CA is seeking a Claims Processor, Specialist to ensure claims are processed accurately and timely. The role will interface with other departments and vendors, and act as the primary contact for priority claim cases.

Hybrid virtual work setup; employees may need to come to the office based on business needs. This position supports leadership development and opportunities for growth within the organization.

Qualifications

• 7 years of prior relevant experience required.
• Thorough knowledge of advanced health plan processing operations within Claims Processing.

Responsibilities

• Interface with other departments and vendors involved in the Claims process.
• Serve as the primary contact for priority claim cases.

Skills

Claims operations

End-to-end processing

Vendor coordination

Cross-functional liaison

Communication

Education

High School Diploma or GED

Tools

Excel

Outlook

PowerPoint

Word

Job description

Blue Shield of CA is seeking a Claims Processor, Specialist to ensure claims are processed accurately and timely. The role will interface with other departments and vendors, and act as the primary contact for priority claim cases.

Hybrid virtual work setup; employees may need to come to the office based on business needs. This position supports leadership development and opportunities for growth within the organization.