Claims Adjuster II (Remote)
CareFirst BlueCross BlueShield Baltimore, MD
CareFirst BlueCross BlueShield Baltimore, MD
CareFirst BlueCross BlueShield Baltimore, MD
5 days ago 28 applicants
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Resp & QualificationsPURPOSE: Investigate and perform adjustment of complex claims and ensure that claims are handled properly within authority limits, and in line with standard procedures and guidelines. Verifies insurance claims by reviewing claims requirements; examining documentation and calculations; highlighting and summarizing out-of-line situations; recommending changes in operating processes; completing reports, logs, and audit records.
Essential Functions
- Proactively investigate and perform adjustments of complex claims. Ensure claims are handled within authority limits, and in line with standard procedures and guidelines.
- Establishes insurance losses by evaluating reports and documentation. Documents insurance claim actions by completing logs and files; collecting, analyzing, and summarizing information in reports.
- Settles insurance claims by approving or denying claims and partnering with supervisor on progress towards claim settlement.
- Improves claims adjustment job knowledge by attending training sessions.
QualificationsEducation Level: High School Diploma or GED.
Experience: 5 years claims experience and complete understanding of all systems, policies and procedures.
Preferred Qualifications
- Prior performance review achievement of Above Target.
Knowledge, Skills And Abilities (KSAs)
- Ability to analyze information gathered from investigation.
- Excellent communication skills both written and verbal.
- Ability to recognize, analyze, and solve a variety of problems.
- Skill in completing assignments accurately with attention to detail.
- Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.
Salary Range: $38,304 - $70,224
Salary Range DisclaimerThe disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circ*mstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).
DepartmentMedicare/Medicaid Claims
Equal Employment OpportunityCareFirst 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.
Where To ApplyPlease visit our website to apply: www.carefirst.com/careers
Federal Disc/Physical DemandNote: 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.
Physical DemandsThe 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 USMust be eligible to work in the U.S. without Sponsorship
-
Seniority level
Mid-Senior level -
Employment type
Full-time -
Job function
Finance and Sales -
Industries
IT Services and IT Consulting, Financial Services, and Hospitals and Health Care
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