About Blue Cross and Blue Shield of Minnesota
At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming health care. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.
*This position is remote, however preference will be given to Minnesota residents*
As a Third-Party Liability associate, you are responsible for reviewing accident-related claims and correspondence to make payment determinations on claims when another party may be liable. You will also be responsible for handling and responding to inbound member, attorney, or other insurance phone calls, providing one call resolutions when possible, and conducting outbound calls as a part of the investigation process to determine other parties’ liability to ensure the responsible party pays for claims as an effort to reduce health care costs.
Your Responsibilities
- This position is responsible for handling incoming and outbound calls from injured members, attorneys, other insurance companies and medical providers
- Conducts research and investigates claims or correspondence to determine other party liability and make claim payment determinations
- Performs within the acceptable range for productivity and telephone measures as required by the unit
- Verifies and coordinates coverage limits and benefits with other auto, homeowners, and workers compensation carriers.
- Assist with other special projects and tasks as directed by leadership based on business needs.
Required Skills and Experience
- 2+ years of related experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
- Call center experience handling inbound and outbound calls
- Experience with computer proficiency
- Excellent time management skills
- Proficient with Microsoft Office
- Demonstrated verbal acuity and conflict resolution skills
Preferred Skills and Experience
- Knowledge of medical terminology
- 1+ years of experience in healthcare or related industry
- Previous claims experience highly desired
- Third-Party Liability and Subrogation experience highly desired
Role Designation
Teleworker
Role designation definition: Teleworking is working full time remote. Hybrid is a combination of working onsite and remotely. Onsite is full-time onsite.
Compensation and Benefits
$21.00 - $23.86 - $28.63 Hourly
Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.
We offer a comprehensive benefits package which may include:
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Medical, dental, and vision insurance
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Life insurance
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401k
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Paid Time Off (PTO)
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Volunteer Paid Time Off (VPTO)
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And more
To discover more about what we have to offer, please review our benefits page.
Equal Employment Opportunity Statement
Blue Cross is an Equal Opportunity and Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on race, color, creed, religion, sex, national origin, genetic information, marital status, status with regard to public assistance, disability, age, veteran status, sexual orientation, gender identity, gender expression, or any other legally protected characteristic.
Reasonable Accommodation for Job Seekers with a Disability: If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to [email protected].
All roles require a high school diploma (or equivalency) and legal authorization to work in the U.S.
Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association.
What We Do
Blue Cross and Blue Shield of Minnesota is a taxable, nonprofit organization with a mission to make a healthy difference in people’s lives. Chartered in 1933 as Minnesota’s first health plan, we’ve promoted wider, more economical and timely availability of health services for the people of Minnesota for 80+ years.
Blue Cross® and Blue Shield® of Minnesota is a nonprofit independent licensee of the Blue Cross® and Blue Shield® Association.
