Claims Support Clerk I

With more than 7,000 employees, we are the largest health insurance company in Michigan. We offer an exciting work environment with a diverse group of employees. Our goal is to make health insurance easier for our members. We want to transform the industry and become a resource that people can trust.

Detroit, MI

Blue Cross Blue Shield of Michigan

When you think of <a href="" target="_blank" rel="noopener noreferrer">Blue Cross Blue Shield of Michigan</a> for health insurance, you can know you&rsquo;re getting much more. We're a company founded on a tradition of affordable, quality health care for everyone, improving the present and investing in the future.<br /><br />We offer:<br />Plans for employers and individuals that meet today&rsquo;s needs, budgets and lifestyle<br />The largest network of doctors and hospitals in the state<br />Lower health care costs Higher quality health care<br />Award-winning diversity practices<br />Grants and programs that promote better health throughout Michigan<br /><strong><br />Mission:&nbsp;</strong>We commit to being our members&rsquo; trusted partner by providing affordable, innovative products that improve their care and health.<br /><br /><a href="" target="_blank" rel="noopener noreferrer"><strong>Click here</strong></a> to learn more about our commitment to our Social Mission, view company updates and reviews, and view our awards &amp; accolades.<br /><br />Learn more about your options as an external candidate. <a href="" target="_blank" rel="noopener noreferrer">Click here</a> to view open positions.

keywords: support,claims,compliance,knowledge,education,experience


Competitive Total Compensation Package

Overview: This position is responsible for a variety of clerical duties in support of claims processing which requires a familiarization with standard work routines
Responsibilities: <ul><li>Receives sorts, ages and logs incoming mail/claims.</li><li>Scans claim for completeness and aged multiple corporate receipt dates requiring priority.</li><li>Checks basic subscriber, provider and eligibility information.</li><li>Make corrections to claims.</li><li>Handles general correspondence.</li><li>Prepares internal claim forms and GI letters.</li><li>Adhere to established standard as cited in Service Level Agreement.</li><li>Process surveys and other seasonal corporate documents.</li><li>Prep internal documents from various departments for storage.</li><li>Index claims for retrieval via Content Manager.</li><li>Perform other related duties as assigned. </li></ul>
Requirements: <ul><li>High school graduate or GED equivalent is required. </li><li>Six (6) months experience in a high volume processing area. Ability to use/operate office machines such as desktop PC, calculator, reader printer, hand-held scanner, and photocopier. </li><li>Knowledge of BCBSM claims flows/techniques including sorting, coding, and data entry, some of which may be specific to department. </li><li>Knowledge of BCBSM claims processing terminology, some of which may be specific to department. </li><li>Other related skills and/or abilities may be required to perform this job. </li></ul>