Senior Claims Adjuster - Blue Card - Remote

Overview

The Senior Claims Adjuster for Blue Card is responsible for providing assistance and resolution on claims issues, mentoring staff, and ensuring accurate claims adjustments in a non-supervisory role.

In Short

• Mentors and assists Claims Adjusters Blue Card.
• Handles blue card claims adjustments and administration.
• Identifies fraudulent cases and forwards them for review.
• Implements process improvements for claims processing.
• Maintains confidentiality and adheres to HIPAA regulations.
• Communicates effectively with internal and external customers.
• Prepares documentation for system trouble tickets.
• Requires 12 months of consecutive claims adjuster experience.
• Must be well-organized and able to multitask.
• Position is remote-based with occasional travel.

Requirements

• High School diploma or GED required.
• Minimum of 12 months experience in Blue Card claims.
• Ability to self-direct and multitask in a fast-paced environment.
• Strong problem-solving skills.
• Proficiency in English communication.
• Ability to use basic office equipment.
• Must pass training and testing requirements.
• Interview process includes a panel of management and HR representatives.

Benefits

• Competitive hourly rate based on collective bargaining agreement.
• Opportunities for professional development and training.
• Comprehensive health benefits.
• Flexible working environment.
• Supportive team culture.