
10,000+ employees
🛡️ Insurance
💼 Consulting
🏥 Healthcare
Insurance • Consulting • Healthcare
Health Care Service Corporation is an independent licensee of the Blue Cross Blue Shield Association, serving nearly 23 million people across the United States with a wide range of health benefit solutions. The company provides health coverage options for various groups, including employers, individuals, families, as well as Medicare and Medicaid plans. In addition to health insurance, HCSC offers services such as pharmacy solutions, life and dental insurance, and health data technology. With nearly a century of experience, HCSC is dedicated to improving access to quality care, enhancing health outcomes, and reducing costs while maintaining a deep commitment to its members and local communities.
🕒 July 31
🇺🇸 United States – Remote
💵 $18 - $33 / hour
⏰ Full Time
🟠 Senior
📋 Claims Specialist
🦅 H1B Visa Sponsor
👻 Ghost score 35%
Where this job comes from
Posted on Health Care Service Corporation's careers page, not through a job board
First seen by Remote Rocketship July 31
Still open on Health Care Service Corporation's site. Checked 3 hours ago.

10,000+ employees
🛡️ Insurance
💼 Consulting
🏥 Healthcare
Insurance • Consulting • Healthcare
Health Care Service Corporation is an independent licensee of the Blue Cross Blue Shield Association, serving nearly 23 million people across the United States with a wide range of health benefit solutions. The company provides health coverage options for various groups, including employers, individuals, families, as well as Medicare and Medicaid plans. In addition to health insurance, HCSC offers services such as pharmacy solutions, life and dental insurance, and health data technology. With nearly a century of experience, HCSC is dedicated to improving access to quality care, enhancing health outcomes, and reducing costs while maintaining a deep commitment to its members and local communities.
• Secure and analyze claim information to make life and disability benefit determinations in accordance with policy provisions and appropriate state and federal laws • Calculate benefit payments and communicate claim decisions on new and continuing claims • Provide responsive and caring customer service • Advise team members regarding claim processing procedures
• High School diploma or GED equivalent • 3 years prior medical claim processing experience • Ability to work in a fast-paced, customer centric & production driven environment • Excellent verbal and written communication skills • Ability to work effectively with employees/members, providers, clients and differing levels of co-workers • Demonstrated critical thinking • Flexible; open to continued process improvements • Self-directed individual who works well with minimal supervision • Good leadership, organizational and interpersonal skills • Ability to effectively handle with complex situations and reach resolution • Ability to analyze and interpret documents and Summary Plan Descriptions (SPDs) • Ability to adapt to various system platforms, and to effectively use MS Excel/Word
• Health insurance • 401(k) savings plan • Pension plan • Paid time off • Paid parental leave • Disability insurance • Supplemental life insurance • Employee assistance program • Paid holidays • Tuition reimbursement • Annual incentive bonus plan
Apply NowImprove your chances of getting an interview by checking your resume score before you apply.
🕒 July 31
Claims Adjuster managing litigated commercial general liability claims for a boutique firm. Role focuses on evaluating exposure, negotiating settlements, and mentoring team members.
🕒 July 29
Manage claims by handling outbound calls and adjudicating HP/AD claims, ensuring compliance with client guidelines. Work independently on claim appeals and grievances and calculate customer amounts as needed.
🕒 July 29
Claims Examiner managing outbound calls and adjudicating medical claims. Responsibilities include researching and recommending actions on claims and ensuring compliance with client guidelines.
🕒 July 29
Claims Representative assisting homeowners by conducting inspections and reviewing insurance policies. Providing service throughout the claims process with a flexible schedule.
🕒 July 29
Crop Claims Specialist analyzing agricultural crop insurance claims for Zurich North America. Exercise judgment on claims, protect reputation, and maintain professional knowledge.