Claims Specialist 1

Blue Cross Blue Shield of Wyoming•Cheyenne, WY

11d

About The Position

Deep Roots. Solid Growth. Caring People. Rooted in Wyoming! We are Blue Cross Blue Shield Wyoming: a not-for-profit health insurer with offices throughout the state. Ever since a small group of caring, persistent Wyoming women helped us put down roots in 1945, everything we do is aimed at better health care for the people of Wyoming. Our Vision: We envision a future where integrity, compassion, and trust define a local health insurance experience. Committed to doing the right thing for our members, employees, and community, we strive to protect and contribute to the health and care of all we serve. Our Mission: provide our members with access to local health insurance solutions that prioritize health, care, and well-being for those who call Wyoming home. If our passion and purpose resonate with you, you may be who we are looking for. The role we are looking to fill: Claims Specialist If you are a passionate and detail-oriented professional looking to make a difference in the community, apply to be a BCBSWY Claims Specialist today. As a claims adjudicator you will be responsible for reviewing, assessing, and processing health plan claims to ensure accuracy, compliance with regulations, and adherence to company policies. In this role, you will key, review, evaluate, and process health plan claims received electronically and via mail. You’ll collaborate with the Claims Management Team to ensure adjudication accuracy when needed. Our team approach requires interacting with other departments to solve problems and achieve common goals. To be successful, you must be able to navigate between multiple systems at the same time and communicate effectively in writing and verbally. You will also need to be well organized and detail oriented.

Requirements

high school, or equivalent, education
willingness to help others
navigate between multiple systems at the same time
communicate effectively in writing and verbally
well organized
detail oriented

Responsibilities

reviewing, assessing, and processing health plan claims
key, review, evaluate, and process health plan claims received electronically and via mail
collaborate with the Claims Management Team to ensure adjudication accuracy
interacting with other departments to solve problems and achieve common goals

Benefits

Best-In-Class Health Insurance at minimal to no-cost for BCBSWY employees!
highly competitive compensation
annual merit increases
Monthly incentives that are based on individual and company performance
medical, dental, vision
401(k)
life insurance
paid time off (PTO)
10 paid holidays in addition to PTO annually
8 paid volunteer hours
various wellness programs
dress code of "Dress for Your Day!" which can mean jeans every day (depending on your role)