Blue cross blue shield claims processor job description

  • Jacksonville, IL
  • Contract

Company Description

Kelly Services is looking to hire several Site Logistics Operators/Material Handlers in Knoxville, TN for an industry leading chemical company. For this opportunity, you could be placed as a Chemical Finished Product Operator or a Polymers Packaging/Warehousing/Shipping Operator on a long-term, indefinite assignment. You will be working with chemicals and should be comfortable doing such - either with previous experience or the willingness to learn.

Job Description

Kelly Services is currently hiring multiple Claims Technicians for temporary to hire opportunities at Blue Cross Blue Shield in Jacksonville, IL.

Snapshot:

  • Pay rate is $12.02/hour

Job Duties:

Job Specific Qualifications:

As a Kelly employee, you’ll have access to premier perks, including:

Additional Information

All your information will be kept confidential according to EEO guidelines.

I'm interested

I'm interested

Summary

Reviews and adjudicates complex or specialty claims. Determines whether to return, deny or pay claims following organizational policies and procedures. Assists in training or mentoring new staff members.

To Qualify for this Position, You’ll Need

  • High School Diploma or equivalent
  • 2 years of experience processing, researching and adjudicating claims.
  • Strong organizational, analytical and judgment skills.
  • Strong oral and written communication skills.
  • Proficient in spelling, punctuation and grammar.
  • Proficient in basic business math.
  • Ability to handle confidential or sensitive information with discretion.

We Prefer That You Have

  • 5 years-of experience processing and adjudicating claims.
  • Preferred understanding of processing a pharmacy claim and the updating of Summary History
  • Strong time management skills.
  • Knowledge of mathematical and statistical concepts.
  • Proficient in word processing and spreadsheet applications. proficient database software skills.

Work Environment:

  • Typical office environment.

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with a recruiter to verify resume specifics and salary requirements.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.

If you need special assistance or an accommodation while seeking employment, please e-mail or call 1-800-288-2227, ext. 43172 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

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What are the duties of a claims processor?

Insurance Claims Processor are clerks who process claims for insurance companies. Some of the duties that they perform include processing new insurance policies, modifying existing ones and obtaining information from policyholders to verify the accuracy of their accounts.

What is claim processing?

Claims Processing means the process followed to pay, settle or reject one or more Claims, whether through their full payment, partial payment, denial of payment, or a combination thereof.