BlueCross BlueShield of Tennessee Hiring for PIO- Home Claims Trainee at Chattanooga, TN Full Time

PLEASE NOTE: This position is Remote with some geographic restrictions. To be hired for this position, you MUST live in one of the following states:

Alabama (AL), Arkansas (AR), Florida (FL), Georgia (GA), Mississippi (MS), Missouri (MO), North Carolina (NC), South Carolina (SC), Tennessee (TN), Virginia (VA).

Handles routine specific claims, while focusing on document preparation, preliminary investigation and effective communication from within and throughout the claims handling process.

Job Description:
BlueCross, as a federal contractor, may be required to implement a COVID-19 vaccine mandate.

Job Responsibilities

Routing claim issues to next level or appropriate support areas; following up to ensure completion.

Inputting, reviewing and validating the claims data received; evaluating their reliability and effectiveness in line with coverage and appraisal.

Assisting in routine claim analysis and final determination; delivering administrative support throughout all claim handling processes.

Performing basic investigator tasks; gathering and documenting relevant information as a preliminary investigation.

Must be able to pass required testing.

Work overtime as required.

Job Qualifications

Education

High School Diploma or equivalent

SkillsCertifications

Proficient in Microsoft Office (Outlook, Word, Excel and Powerpoint)

Proficient oral and written communication skills

Proficient interpersonal and organizational skills

Exceptional time management skills

Independent, Sound decision-making and problem-solving skills

If current employee with the company, must meet minimum performance expectations

Job Specific Requirements:
This position is scheduled to start 7/11/2022.

Preferred Skills:
Number of Openings Available:
15

Worker Type:
Employee

Worker Sub-Type:
FlexHome

Company:
Applying for this job indicates your acknowledgement and understanding of the following statements:

BCBST is an Equal Opportunity employer (EEO), and all employees and applicants will be entitled to equal employment opportunities when employment decisions are made. BCBST will take affirmative action to recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.

Further information regarding BCBST’s EEO Policies/Notices may be found by reviewing the following page:

BCBST’s EEO Policies/Notices

BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

All applicants will be advised that BlueCross, as a federal contractor, may be required to implement a COVID-19 vaccine mandate.

Tobacco-Free Hiring Statement

To further our mission of peace of mind through better health, effective 2017, BlueCross BlueShield of Tennessee and its subsidiaries no longer hire individuals who use tobacco or nicotine products (including but not limited to cigarettes, cigars, pipe tobacco, snuff, chewing tobacco, gum, patch, lozenges and electronic or smokeless cigarettes) in any form in Tennessee and where state law permits. A tobacco or nicotine free hiring practice is part of an effort to combat serious diseases, as well as to promote health and wellness for our employees and our community. All offers of employment will be contingent upon passing a background check which includes an illegal drug and tobacco/nicotine test. An individual whose post offer screening result is positive for illegal drugs or tobacco/nicotine and/or whose background check is verified to be unsatisfactory, will be disqualified from employment, the job offer will be withdrawn, and they may be disqualified from applying for employment for six (6) months from the date of the post offer screening results.

Resources to help individuals discontinue the use of tobacco/nicotine products include smokefree.gov or 1-800-QUIT-NOW.