Description
What You’ll Do :
- Distributes daily work to employees, tracks workload and employee performance, and makes appropriate decisions necessary to ensure all processing expectations and team goals are met.
- Responds accurately and timely to inquiries from team members, including management, concerning customer inquiries, claims adjudication, appeals and other technical issues.
- Investigates and initiates resolutions to complex problems.
- Authorizes payment recovery, claim payments, or makes claim rejections based on documented information and provisions of state or federal law.
- Identifies issues with procedures and processes and provides feedback to management on changes and development.
- Trains new employees and introduces new material to all employees.
- Develops, updates, and maintains procedural manuals.
- Serves as liaison with other departments to address claim, system and quality issues.
- May perform some testing functions and attend / participate in meetings as needed.
To Qualify for This Position, You’ll Need :
- High School Diploma or equivalent
- 3 years of customer service experience and 1 year of claims or appeals processing experience OR Bachelor’s Degree in lieu of work experience.
- Excellent verbal and written communication skills.
- Strong customer service skills.
- Proficient spelling, punctuation, grammar, and basic business math.
- Ability to handle confidential or sensitive information with discretion.
- Knowledge of claims processing procedures.
- Experience with Microsoft Office.
What Blue Can Do For You :
- 401(k) retirement savings plan with company match
- Subsidized health plans and free vision coverage
- Life insurance
- Paid annual leave the longer you work here, the more you earn
- Nine paid holidays
- On-site cafeterias and fitness centers in major locations
- Wellness programs and a healthy lifestyle premium discount
- Tuition assistance
- Service recognition
30+ days ago