Helping make health care for Californians easy, accessible and reasonably priced
is a great calling. Knowing that your company has channeled over $100 million
back into California communities and will continue to do so is flat out
uplifting. Join the hardest working, not-for-profit health plan in California
and be part of the solution.

Resolves member, provider, broker partner plans and employer inquiries via
telephone, or correspondence within established production and quality
standards. May make verification calls to applicants.

Responsibilities
• Composes routine and non-routine correspondence to answer member inquiries
that require a written response.
• Coordinates with other departments to ensure timely and appropriate responses.
• Expedites and resolves complex issues and makes claims adjustments.
• Educates others on the Blue Shield product, providing accurate information and
updates to policies and procedures, improving overall customer satisfaction in
the process.
• Works with minimal supervision



Education/Requirements:
Requires High school diploma or GED and two years member/customer service
experience, or equivalent combination of education and experience.
Claims...

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