Customer Services Concierge Support, Intermediate
About The Position
The Shared Advantage team provides multifunctional services and support for third-party administrators, including claims processing, high-dollar review, written correspondence, and client services concierge phone and email support. In this role, you will learn to process and adjust simple and complex claims, apply return files, and respond to written correspondence. The role allows employees to work virtually full-time, with office attendance expected based on business needs. Blue Shield of California's leadership model emphasizes developing leaders at all levels and offering opportunities for personal, professional, and financial growth. The company seeks people who value creative and critical thinking, building high-performing teams, achieving results responsibly, and continuous learning.
Requirements
- High school diploma or GED, or one year of additional 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.
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 to resolve issues as needed.
- Understand the fundamentals of end-to-end claims processing.
- 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.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
