Customer Services Concierge Support, Intermediate

Blue Shield of California • Redding, CA

7d • Hybrid

About The Position

The Shared Advantage team provides multifunctional services and support for third-party administrators (TPAs), including claims processing, high-dollar review, written correspondence, client services concierge phone support, email, and correspondence. The role involves learning to process and adjust simple and complex claims, apply return files, and respond to written correspondence. The position reports to the Shared Advantage Supervisor.

The organization emphasizes developing leaders at all levels and providing opportunities for personal, professional, and financial growth. It seeks people who bring creative and critical thinking, build and sustain high-performing teams, get results the right way, and foster continuous learning.

This role allows employees to work virtually full-time, with office attendance expected based on business needs.

Requirements

• High school diploma or GED, or one additional year of relevant experience in lieu of a diploma.
• 1–3 years of prior relevant experience.
• Ability to problem-solve and resolve complex claims issues.
• Professionalism and a positive attitude.
• Dependability, reliability, responsibility, and ability to work independently.
• Excellent interpersonal communication skills and ability to work well within a team.
• Experience in back-end processing and proficiency resolving complex edits with minimal direction.
• Experience in front-end processing and difficult adjustments.

Responsibilities

• Resolve complex back-end processing edits using available documents and job aids with minimal direction.
• Perform front-end processing and difficult adjustments.
• Handle special processing assignments and coordinate with other departments for resolution when needed.
• Understand end-to-end claims processing fundamentals.
• Meet established performance metrics.
• Compose written correspondence responding to claims and provider inquiries.
• Support Blue Shield's mission of being a great place to do meaningful work.
• Drive and support a positive team culture.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED