Blue Cross and Blue Shield of Louisiana

Claims Specialist II

Blue Cross and Blue Shield of Louisiana

full-time

Posted on:

Location Type: Remote

Location: LouisianaUnited States

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About the role

  • Accurate processing of claims edits
  • Determining primacy for the Coordination of Benefits (COB)
  • Adjusting previously paid claims
  • Initiating procedures to recover funds on overpaid claims
  • Analyzing, investigating, and resolving problem cases
  • Executing recovery processes
  • Completing special projects

Requirements

  • High School Diploma or equivalent required
  • 2 years in medical claims processing required
  • Coordination of Benefits (COB) processing experience preferred
  • Strong analytical ability
  • Strong oral and written communication skills
  • Working knowledge of relevant PC software
Benefits
  • We take great strides to ensure our employees have the resources to live well
  • be healthy
  • continue learning
  • develop skills
  • grow professionally and serve our local communities

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
claims processingCoordination of Benefits (COB)claims adjustmentfund recoveryproblem analysisrecovery processes
Soft skills
analytical abilityoral communicationwritten communication
Certifications
High School Diploma