Claims Research Associate

8 hours ago

Birmingham, Alabama, United States Blue Cross and Blue Shield of Alabama Full time
Job Overview

We are seeking a highly skilled Claims Research Associate to join our team at Blue Cross and Blue Shield of Alabama. As a Claims Research Associate, you will play a critical role in processing medical claims and resolving customer inquiries in a timely and accurate manner.

The ideal candidate will have excellent analytical and problem-solving skills, with the ability to work in a fast-paced environment and meet production, accuracy, and timeliness goals. You will be responsible for reviewing claims for errors, comparing member benefits to services requested, and making necessary updates to ensure timely processing.

Our Claims Research Associate program is designed to provide a structured and engaging environment to learn all functions of the Claims Research Associate position. The program consists of five phases, including classroom training, benchmarking, and fluency. You will have the opportunity to work with a team of experienced professionals and develop your skills in a dynamic and supportive environment.

We are committed to providing our employees with a comprehensive benefits package, including health, dental, and vision insurance, as well as a 401(k) plan and paid time off. If you are a motivated and detail-oriented individual who is passionate about delivering exceptional customer service, we encourage you to apply for this exciting opportunity.

Key Responsibilities
  • Process medical claims in accordance with business regulations, internal standards, and processing guidelines
  • Resolve customer inquiries in a timely and accurate manner
  • Review claims for errors and make necessary updates to ensure timely processing
  • Compare member benefits to services requested and make necessary adjustments
  • Work with a team of experienced professionals to develop skills and knowledge
Requirements
  • High School Diploma or equivalent
  • Experience interacting with customers
  • Experience in a position requiring problem-solving and analytical skills
  • Experience in a position demonstrating time management and organizational skills
  • Experience in a position demonstrating research skills
  • Willingness to work in a fast-paced environment
  • Strong communication skills
About Blue Cross and Blue Shield of Alabama

Blue Cross and Blue Shield of Alabama is the largest provider of healthcare benefits in Alabama, providing coverage to over 3 million people in Alabama and other areas of the country. We employ over 3,000 people at our corporate headquarters in Birmingham, Alabama, including our service centers and satellite offices around the state. We are committed to providing our customers with value-driven, quality products and services, and we are seeking talented individuals who share our vision and values.

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