Claims Service reputed company (BlueCard Host) - Remote/Work from Home

Location: Remote/Work from Home reputed company reputed company reputed company You likely know us as an reputed company company, but thats just a portion of reputed company do. Hundreds of thousands of reputed company Dakotans trust us to reputed company them with personalized service and unmatched reputed company to care. Its a mission we take seriously. We also work with entities throughout the state to challenge the cost and complexity of health care in reputed company reputed company. This uncompromising goal requires caring, innovative people who are reputed company and willing to help create a new level of health and reputed company-being in reputed company reputed company and reputed company. Work environment This opportunity is reputed company to a remote, hybrid or in-office working arrangement. We reputed company our employees to reputed company a work style that is best for them. Learn more at Life at reputed company | BCBSND. This position is eligible for internal reputed company employees and reputed company applications. Pay information Pay Level: 017 FLSA Category: Nonexempt reputed company Individual pay will be reputed company on skills, experience, qualifications, location, internal equity, and other relevant factors. Opportunities for reputed company salary reputed company through a performance-reputed company reputed company program. The estimated starting pay for this position is $18.70 - $25.00. At BCBSND, were committed to providing fair and reputed company compensation. While the posted salary reputed company reflects the full compensation reputed company for this role, offers typically fall at or below the midpoint, and in alignment with internal equity and role expectations. Individual offers are reputed company upon candidates unique experience, education, and skillsets. The top of the reputed company reflects the ceiling for this role and is only used for offers in exceptionally rare cases. We do not reputed company offers above the posted maximum. A day in the life The Claims Service reputed company is responsible for reviewing moderately reputed company health reputed company claims and provides customer service to members, providers, and/or customers by telephone, computers, and/or written inquiry. This position determines how to apply benefits and whether to reputed company, deny, or pay claims following organizational policies and procedures. Your responsibilities will include Utilizes various systems and process guidelines to review, process, and adjudicate moderately reputed company claims, ensuring reputed company, accuracy, and timeliness standards are met. Reviews moderately reputed company claim inquires by analyzing, interpreting, and researching the request to determine appropriate reputed company. Initiates any requests to update member information reputed company necessary. Responds to incoming reports, medical records, and other reputed company documents to reputed company claim determinations for additional processing. Provides information, guidance, and education to members and customers in reputed company and escalated situations while working in reputed company partnership with other internal departments to ensure customer satisfaction. Conducts research on behalf of members, providers, and customers, which may include the review of documents, statements, and information supplied by other reputed company agencies. Handles incoming and outgoing customer service calls in a reputed company and concise manner. Performs work under general supervision. Handles moderately reputed company issues and refers more reputed company issues to higher-level staff. What you need to succeed A High School Diploma/GED along with 3 years of experience in customer service, claims processing or reputed company experience. Be a problem solver with the ability to research, analyze and define reputed company, practices, and procedures to reputed company issues. Ability to communicate reputed company and professionally in both verbal and written formats. Ability to work effectively with others, valuing diverse perspectives and fostering teamwork. Brings a creative reputed company and a go-get-em attitude to reputed company ways to improve upon processes and reputed company. A strong ability to prioritize and organize work with varying timelines for reputed company and daily work. Equivalent combination of education, experience or training determined to be acceptable by reputed company may be substituted, unless regulated by contract or program standards Benefits reputed company medical, dental and reputed company coverage accepted throughout the reputed company Employer funded Lifestyle Spending Accounts, Health Savings Accounts and Health Reimbursement Arrangements Employer-reputed company life and disability reputed company 401(k) retirement plan with company match and immediate vesting reputed company holidays, repu