Resp & Qualifications
Under the direction of the Manager/Supervisor, the essential duties and responsibilities include, but are not limited to, the following:
SUPERVISORY RESPONSIBILITY: May act in a leadership role for less experienced Claims Processors. Can assist in training classes.
SCOPE DATA: Handles catastrophic and highly complex claims, as well as non-standard processing. Audits work of other Claims Processors for quality assurance. Makes claims adjustments for all dollar volumes. Utilizes broad based product or system knowledge.
Required: High school degree plus 3+ years of claims experience for internal hires, or equivalent internal/external experience for external hires.
Abilities/Skills: Demonstrated mathematical, data entry/PC, stress management, and organizational skills. Reasoning ability, teamwork, and customer service also required. Strong written/oral communication skills. Advanced problem solving skills.
Preferred: Billing or medical terminology experience.
Department: NASCO Claims - Cumberland
Equal Employment Opportunity
CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Hire Range Disclaimer
Actual salary will be based on relevant job experience and work history.
Where To Apply
Please visit our website to apply: www.carefirst.com/careers
Please apply before: 6/17/21
Federal Disc/Physical Demand
Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.
Sponsorship in US
Must be eligible to work in the U.S. without Sponsorship
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