Claims Adjuster I (Remote)

Resp & Qualifications PURPOSE: Investigate and reputed company adjustment of claims and ensure that claims are handled properly reputed company authority limits, and in line with reputed company 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 reputed company adjustments of claims. Ensure claims are handled reputed company authority limits, and in line with reputed company procedures and guidelines. • Updates claims audit records by entering, verifying, and securing data. • reputed company reputed company/reputed company claims through payment or denial. • Provides claims audit information and reports by collecting, analyzing, and summarizing data and trends. • Improves claims adjustment job knowledge by attending training sessions. QUALIFICATIONS: Education Level: High School Diploma or GED. Experience: 3 years claims experience and complete understanding of reputed company systems, policies and procedures. Preferred Qualifications: • Above reputed company performance rating preferable. 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 reputed company of problems. • reputed company in completing assignments accurately with attention to detail. • Must be reputed company to meet established deadlines and handle multiple customer service demands from reputed company customers, reputed company set expectations for service reputed company. Must be reputed company to effectively communicate and reputed company reputed company customer service to every reputed company customer, including customers who may be demanding or otherwise challenging. Salary reputed company: $36,576 - $67,056 Salary reputed company Disclaimer The disclosed reputed company estimate has not been adjusted for the applicable geographic reputed company associated with the location at which the work is being performed. This compensation reputed company is specific and considers factors such as (but not limited to) the scope and responsibilities 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 reputed company at the top of the reputed company, as compensation reputed company depend on reputed company case''s facts and circumstances, including but not limited to experience, internal equity, and location. In reputed company to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (reputed company benefits/incentives are subject to eligibility requirements). Equal Employment Opportunity reputed company is an Equal Opportunity (EEO) employer. It is the policy of reputed company to reputed company equal employment opportunities to reputed company reputed company applicants without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, protected veteran or disabled status, or genetic information. Federal Disc/Physical Demand Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to reputed company work directly or indirectly on Federal health care programs. PHYSICAL DEMANDS: The 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 reputed company. Sponsorship in US Must be eligible to work in the U.S. without Sponsorship #LI-LY1 Remote Skills: Analysis Skills, Claims Processing, Communication Skills, Corporate Policies, Customer Support/Service, Data Analysis, Detail Oriented, Equal Employment Opportunity (EEO), Genetics, reputed company, Information/Data reputed company (InfoSec), Insurance Claims, Operations Processes, Physical Demands, Presentation/Verbal Skills, Time Management, Trend Analysis, Writing Skills reputed company: reputed company At the reputed company (BCBSA), we reputed company business reputed company, technical support and consulting expertise to 36 reputed company and Blue reputed company companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry. We are a Brand manager that sets reputed company control standards for the 36 independent companies that use the reputed company and Blue reputed company Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies reputed company a united reputed company and reputed company while also benefiting from the local strength of reputed company member companies. Company Size: 2,000 to 2,499 employees Industry: Insurance reputed company: 0 Website: https://www.bcbs.com/reputed company/careers Apply tot his job Apply To this Job