About the Company
Blue Cross Blue Shield of North Dakota (BCBSND) is a local, independent licensee of the Blue Cross and Blue Shield Association. For over 80 years, we have been committed to providing comprehensive health insurance plans and exceptional service to individuals, families, and businesses across North Dakota. We are dedicated to the health and well-being of our members and the communities we serve, fostering a culture of care, innovation, and integrity.
Job Description
Join our dedicated team as a State/Provincial Disability Claims Processor, where you will play a crucial role in supporting individuals through their disability claims journey. This rewarding position involves reviewing, processing, and managing disability claims in compliance with state regulations and company policies. You will be responsible for ensuring accurate and timely payment of benefits, providing compassionate communication to claimants, and collaborating with various stakeholders to facilitate a smooth claims process. If you possess strong analytical skills, attention to detail, and a desire to make a positive impact, we encourage you to apply.
Key Responsibilities
- Review and analyze complex disability claims, medical records, and policy information to determine eligibility for benefits.
- Process claims accurately and efficiently in accordance with established guidelines, state regulations, and internal procedures.
- Communicate clearly and empathetically with claimants, healthcare providers, and employers regarding claim status, requirements, and decisions.
- Investigate discrepancies, gather additional information as needed, and resolve issues related to disability claims.
- Maintain detailed and organized records of all claim activities and communications.
- Collaborate with internal teams, including medical advisors and legal counsel, to ensure proper claim management.
- Identify and report potential fraudulent claims.
- Stay updated on changes in disability laws, regulations, and company policies.
Required Skills
- Strong analytical and problem-solving abilities.
- Excellent written and verbal communication skills.
- High level of attention to detail and accuracy.
- Proficiency in basic computer applications (e.g., Microsoft Office Suite).
- Ability to manage a diverse caseload and prioritize tasks effectively.
- Empathy and a customer-service oriented approach.
Preferred Qualifications
- Associate's or Bachelor's degree in a related field (e.g., Business Administration, Healthcare Administration).
- One year of experience in claims processing, insurance, or a healthcare administrative role.
- Knowledge of medical terminology and disability claims processes.
- Experience with claims management software.
Perks & Benefits
- Comprehensive health, dental, and vision insurance plans.
- Paid time off and company-paid holidays.
- 401(k) retirement plan with company match.
- Life and disability insurance.
- Professional development and training opportunities.
- Wellness programs.
- Employee assistance program.
How to Apply
If you are interested in this position, please click the "Apply Now" button below. To ensure your application is properly considered, please prepare the following:
- An up-to-date Resume or CV
- A brief cover letter summarizing your experience and motivation
Applications are reviewed on a rolling basis. Only shortlisted candidates will be contacted for an interview.
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