Claims Specialist 1

Blue Cross and Blue Shield Association•Cheyenne, WY

48d

About The Position

If you are a passionate and detail-oriented professional looking to make a difference in the community, apply to be a BCBSWY Claims Specialist today. As a claims adjudicator you will be responsible for reviewing, assessing, and processing health plan claims to ensure accuracy, compliance with regulations, and adherence to company policies. In this role, you will key, review, evaluate, and process health plan claims received electronically and via mail. You'll collaborate with the Claims Management Team to ensure adjudication accuracy when needed. Our team approach requires interacting with other departments to solve problems and achieve common goals. To be successful, you must be able to navigate between multiple systems at the same time and communicate effectively in writing and verbally. You will also need to be well organized and detail oriented.

Requirements

High school, or equivalent, education
Willingness to help others
Navigate between multiple systems at the same time
Communicate effectively in writing and verbally
Well organized
Detail oriented

Responsibilities

Reviewing, assessing, and processing health plan claims
Key, review, evaluate, and process health plan claims received electronically and via mail
Collaborate with the Claims Management Team to ensure adjudication accuracy
Interacting with other departments to solve problems and achieve common goals

Benefits

Best-In-Class Health Insurance at minimal to no-cost for BCBSWY employees!
Highly competitive compensation!
Annual merit increases
Monthly incentives that are based on individual and company performance
Medical
Dental
Vision
401(k)
Life insurance
Paid time off (PTO)
10 paid holidays in addition to PTO annually
8 paid volunteer hours
Various wellness programs
Dress code of "Dress for Your Day!" which can mean jeans every day (depending on your role)