Remote Claims Trainee bei BlueCross BlueShield of Tennessee

The BlueCare Division here at BCBST is looking to add new Claims Trainees to their team!

• Overview of Role:
  • Handle routine specific claims for the BlueCare division.
  • Focus on document preparation and preliminary investigation.
  • Ensure effective communication throughout the claims handling process.
  • Must be able to work overtime as required.
• Preferences:
  • Strong attention to detail.
  • Great communication skills.
  • Willingness to learn and work independently

If selected for this role, training will begin September 2, 2025 and will last roughly 7 to 11 weeks. The training hours are 8:00 am – 4:30 pm Eastern, Monday to Friday. Please note that training is performance based. If you are passionate about working in a fast-paced environment with opportunities for growth and development, we encourage you to apply.

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

Number of Openings Available:

Worker Type:

Company:

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

BCBST will 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.

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.