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Issue Resolution Specialist Hybrid- (Bloomington, MN) jobs in United States
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Independence Blue Cross · 3 weeks ago

Issue Resolution Specialist Hybrid- (Bloomington, MN)

Independence Blue Cross is seeking an Issue Resolution Specialist to tackle complex challenges and drive meaningful change for clients and members. The role involves investigating, analyzing, and resolving inquiries while collaborating with cross-functional teams to enhance the customer experience.
Health CareHealth InsuranceInsuranceMedical

Responsibilities

Lead Complex Investigations: Dive deep into inquiries, identify root causes, and develop holistic solutions that prevent recurrence. Your analytical mindset will be key to untangling challenging scenarios and delivering results that matter
Drive Continuous Improvement: Spot trends, report systemic issues, and recommend process enhancements. Your insights will help us evolve and stay ahead in a rapidly changing industry
Collaborate Across Teams: Work closely with internal and external partners, including management, sales, claims, billing, and client representatives, to resolve issues efficiently and share knowledge
Communicate with Impact: Provide clear, professional updates to stakeholders, ensuring transparency and trust throughout the resolution process
Champion the Client Experience: Respond to inquiries with empathy and urgency, always striving to exceed expectations and strengthen relationships
Embrace Innovation: Leverage technology and best practices to streamline workflows and enhance service delivery

Qualification

Healthcare KnowledgeProblem SolvingCritical ThinkingMicrosoft ExcelCustomer ServiceCollaborative CommunicationTech-SavvyDetail-Oriented

Required

3–5 years of experience in self-funded billing, accounts receivable, claims, enrollment, reconciliation, or customer service within the healthcare industry
Proficient in Microsoft Excel, Access, Word, and Outlook; comfortable learning new systems and tools

Preferred

Associate's degree in a business-related field or equivalent work experience preferred
Experience with self-funded health insurance products, ancillary benefits, and regulatory requirements (ACA, HIPAA, state laws) is a plus

Benefits

Purposeful Work: Make a tangible difference for clients and members every day.
Growth & Learning: Expand your expertise through continuous training, exposure to complex cases, and opportunities to innovate.
Supportive Culture: Join a team that values initiative, diversity of thought, and collaboration.
Flexibility: Enjoy remote work options and a culture that supports work-life balance.

Company

Independence Blue Cross

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The leading health insurer in southeastern Pennsylvania. It is a sub-organization of Independence Blue Cross.

Funding

Current Stage
Late Stage

Leadership Team

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Alexandra Jorgensen
Senior Vice President Human Resources
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Joe Geist
SVP & Market President, National
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Company data provided by crunchbase