Note: The job is a remote job and is open to candidates in USA. Blue Shield of California is hiring a Customer Services Concierge Support, Intermediate professional for its Shared Advantage team, which supports third-party administrators. The role involves processing and adjusting claims, handling written correspondence, and resolving claims-related inquiries.
Responsibilities
- Be experienced in back-end processing; proficient in resolving complex edits using available documents/job aids with minimum direction
- Experience front-end processing and difficult adjustments
- Be given special processing assignments; coordinate with other departments for resolution if needed
- Understand fundamentals of end-to-end (life of a clam) claims processing
- Perform established performance metrics
- Compose correspondence to answer claims/provider inquiries in writing
- Support Blue Shield's mission of being a great place to do meaningful work
- Drive and support a positive team culture
Skills
- Requires High School Diploma or GED or 1 year of additional relevant experience in lieu of diploma
- Requires 1-3 years prior relevant experience
- Ability to problem-solve and resolve complex claims issues
- Maintain professionalism and a positive attitude
- Be dependable, reliable, responsible and can work independently
- Have excellent interpersonal communication skills and work well within a team
Benefits
- This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need.
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