Claims Specialist 1
About The Position
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
- Ability to navigate between multiple systems at the same time
- Effective written and verbal communication skills
- Well organized and detail oriented
Responsibilities
- Key, review, evaluate, and process health plan claims received electronically and via mail.
- Collaborate with the Claims Management Team to ensure adjudication accuracy when needed.
- Interact 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 compensation program review for competitive market match
- Eligible for annual merit increases
- Monthly incentives 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
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
