Blue Cross and Blue Shield of Minnesota · 22 hours ago
Technical Specialist Claims
United States
Full-time
Remote
Mid Level
$23.81/hr - $35.71/hr
4+ years expBlue Cross and Blue Shield of Minnesota is dedicated to transforming healthcare and is seeking a Technical Specialist Claims to serve as a resource for claims staff in resolving complex issues. This role involves providing training, mentoring, and serving as a subject matter expert while assisting in the development of training content and workflow procedures.
Insurance
Responsibilities
Serves as primary resource for staff in interpretation of contracts, system, procedures, or policies
Provides guidance to staff while assisting in resolution of difficult and/or sensitive issues
Provides written and verbal feedback to supervisors regarding individual employee performance
Provides supplemental and on-the-job training to new and existing staff in an individual or group setting
Assists the Claims Business Training Unit in the development of training content, lesson plans, job aides and training materials
Identifies and develops training opportunities with claims leadership
Audits individuals work and provides feedback to employees while keeping leadership appraised of the progress of each individual
Analyzes and provides recommendations for possible changes in workflow procedures or situations
Responds to internal customers and other Blue Plans inquiries
Completes assigned special projects that require research, analysis, and documentation
Provides back-up support to leadership
Serve as subject matter expert for other areas by providing mentoring, best practices, development, etc
Willingness to take on complex projects. Determine problem cause, develop, and implement solutions and provide quality communication on outcome
Qualification
Required
4+ years of related experience. All relevant experience including work, education, transferable skills, and military experience will be considered
Excellent interpersonal skills
Strong presentation skills
Ability to explain complex procedures, products, and concepts
Thorough understanding of company computer applications
Demonstrates conflict resolution skills
Well-developed oral and written communication skills
Demonstrates planning, prioritization and organizational skills
Demonstrates confident and independent decision-making skills
Demonstrated flexibility to adapt to changes in procedures and job assignments
Demonstrated ability to work independently and in a team environment
High school diploma (or equivalency) and legal authorization to work in the U.S
Preferred
Prior insurance or health care experience
Prior experience interacting with customers
Knowledge of operating systems specific to claim processing
Benefits
Medical, dental, and vision insurance
Life insurance
401k
Paid Time Off (PTO)
Volunteer Paid Time Off (VPTO)
And more
Company
Blue Cross and Blue Shield of Minnesota
About Blue Cross Blue Cross and Blue Shield of Minnesota is a taxable, nonprofit organization with a mission to make a healthy difference in people’s lives.
1001-5000 employees
H1B Sponsorship
Blue Cross and Blue Shield of Minnesota has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (4)
2024 (4)
2023 (6)
2022 (2)
2021 (3)
2020 (5)
Funding
Current Stage
Late StageLeadership Team
Carrie S. Lawrence
Executive Administrator to the President & CEO and Chief of Staff
Patsy Riley
Chief Goverment Officer and Senior Vice President and CEO, ClearStone Solutions
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