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Bcbs Claims Jobs (NOW HIRING)

Old Republic Professional

Claims Counsel

Chicago, IL · On-site

$150K - $200K/yr

Position Overview Claims Counsel is a mid-level Old Republic Professional (ORPRO) Claims Counsel ... Employee benefits include BCBS medical, FSA/HSA accounts, long-term disability, dental, vision ...

System One

Healthcare EDI Claims Analyst

Columbia, MD · On-site

$52.96/hr

BCBS or other healthcare payer experience. Ideal Background Candidates with experience in the following roles are encouraged to apply: * Healthcare EDI Claims Analyst * EDI Analyst * EDI Support ...

System One

Healthcare EDI Claims Analyst

Columbia, MD · On-site

$52.96/hr

BCBS or other healthcare payer experience. Ideal Background Candidates with experience in the following roles are encouraged to apply: * Healthcare EDI Claims Analyst * EDI Analyst * EDI Support ...

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How much do bcbs claims jobs pay per hour?

As of Jul 26, 2026, the average hourly pay for bcbs claims in the United States is $24.12, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $27.40 per hour, depending on experience, location, and employer.

How much does Blue Cross Blue Shield pay work from home?

Blue Cross Blue Shield claims processing jobs, including work-from-home positions, typically offer hourly wages ranging from $15 to $25, depending on experience and location. Compensation may also include benefits such as health insurance and paid time off, with schedules often requiring strong organizational and communication skills.

What jobs pay 4000 a week without a degree?

High-paying jobs that can reach $4,000 a week without a degree often include roles such as commercial truck drivers, sales managers, real estate brokers, and skilled trades like electricians or plumbers. These positions typically require specialized training, certifications, or experience rather than a college degree, and may involve physically demanding work or sales skills. Earning this level of income usually depends on experience, location, and performance.

Does Blue Cross Blue Shield pay well?

As a claims processor or representative at Blue Cross Blue Shield, salaries are generally competitive within the healthcare insurance industry and vary based on experience, location, and role complexity. Entry-level positions often start at or slightly above minimum wage, while experienced claims specialists can earn higher salaries, especially with certifications or specialized skills. Overall, compensation is considered fair and aligned with industry standards for healthcare claims roles.

What are BCBS claims?

BCBS claims refer to the requests for payment that healthcare providers submit to Blue Cross Blue Shield (BCBS) insurance on behalf of patients who have received medical services. These claims include details about the patient's treatment, diagnosis, and the costs incurred. Once submitted, BCBS reviews the claim to determine which services are covered under the patient’s insurance plan and how much will be paid to the provider. The process also helps ensure that policyholders receive their benefits according to their health plan. Proper claims handling is essential for timely reimbursements and efficient healthcare administration.

What are the key skills and qualifications needed to thrive as a BCBS Claims Specialist, and why are they important?

To thrive as a BCBS Claims Specialist, you need a solid understanding of health insurance policies, medical billing, and claims processing, typically supported by experience in healthcare administration or a related field. Familiarity with claims management software, ICD-10/CPT coding systems, and electronic data interchange (EDI) platforms is essential. Strong attention to detail, analytical thinking, and effective communication are crucial soft skills for resolving discrepancies and assisting clients or providers. These skills ensure accurate claims adjudication, regulatory compliance, and efficient resolution of issues within the health insurance process.

What are some common challenges faced by professionals handling BCBS claims, and how can they be managed effectively?

Professionals working with BCBS (Blue Cross Blue Shield) claims often encounter challenges such as navigating complex insurance policies, ensuring accurate coding, and managing claim denials or rejections. Staying up to date with changing regulations and payer requirements is crucial to avoid processing errors. Effective communication with healthcare providers and insurance representatives, along with strong attention to detail, can help resolve discrepancies quickly and ensure timely claim resolution. Utilizing claim management software and participating in ongoing training are also beneficial for staying efficient and compliant.

What qualifications do I need at BCBS?

For a BCBS claims position, candidates typically need a high school diploma or equivalent, with some roles requiring a bachelor's degree in health administration, business, or related fields. Strong attention to detail, communication skills, and familiarity with claims processing software are important, and relevant certifications like Certified Claims Professional (CCP) can be advantageous.

What is the difference between Bcbs Claims vs Bcbs Customer Service Representative?

AspectBcbs ClaimsBcbs Customer Service Representative
Required CredentialsInsurance claims processing certification, knowledge of healthcare policiesCustomer service training, communication skills, insurance knowledge
Work EnvironmentOffice setting, claims processing departmentsCall centers, customer support centers
Employer & Industry UsageHealth insurance companies, healthcare industryHealth insurance companies, customer support roles
Common Search & ComparisonClaims processing, insurance claimsCustomer support, member inquiries

While Bcbs Claims specialists focus on processing and managing insurance claims, Bcbs Customer Service Representatives handle member inquiries and support. Both roles are essential in the healthcare insurance industry but differ in responsibilities and daily tasks.

More about Bcbs Claims jobs
What cities are hiring for Bcbs Claims jobs? Cities with the most Bcbs Claims job openings:
What states have the most Bcbs Claims jobs? States with the most job openings for Bcbs Claims jobs include:
What job categories do people searching Bcbs Claims jobs look for? The top searched job categories for Bcbs Claims jobs are:
Bcbs Claims jobs near you
Infographic showing various Bcbs Claims job openings in the United States as of July 2026, with employment types broken down into 1% Internship, 3% As Needed, 89% Full Time, 5% Part Time, 1% Contract, and 1% Nights. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $50,180 per year, or $24.1 per hour.
Claims Adjuster

Claims Adjuster

Worldwide Insurance Services

King Of Prussia, PA • On-site

Full-time

Medical, Retirement, PTO

Posted 29 days ago

Job description

Who we are:


At Blue Cross Blue Shield Global Solutions℠ (BCBS Global Solutions℠), we make it easy for people and organizations to access and pay for healthcare abroad. By combining digital innovation with human‑centered care, we go above and beyond for our customers and deliver an international healthcare experience that’s simple, efficient, and human.

Whether our customers live, work, travel, or study abroad, we give them the confidence and peace of mind to say “yes” to new possibilities.

We are hiring for a Claims Adjuster to join the team! The Claims Adjuster analyzes and processes requests and inquiries for adjustments to medical insurance claims in an accurate and timely manner while adhering to claims processing standards and Service Level Agreements. This position must be able to adequately communicate findings and be able to assist with escalated issues, and special projects.


Responsibilities:

  • Performs retrospective claim adjustments that include identifying overpayments, underpayments, system configuration issues and correcting as appropriate.
  • Analyze external and internal inquiries to identify required claim adjustments.
  • Process claims as needed by analyzing international claims to identify the claimant, type of services rendered and charge for each and comparing each claim to customer’s policy coverage provisions.
  • Communicate claim adjudication and/or adjustment analyses to internal departments, internal teams, members, and providers.
  • Accurately process medical claim adjustments into the claims system in adherence to BCBS Global SolutionsSM /HTH standards.
  • Reporting error trends that are detected for future educational training purposes.
  • Maintaining required departmental production and quality standards.
  • Keep Manager advised of status of workload and identify problems for which help is needed.
  • Follow regulations and company rules and policies as outlined in the Employee Handbook.
  • Other duties as assigned.


Requirements:

  • High school diploma or equivalent required. Some college/degree a plus.
  • Minimum - three years of experience in the health insurance industry examining and adjudicating medical claims preferably with exposure to stating plan features and benefits and helping to resolve claims related issues.
  • Familiarity with insurance products and insurance terminology, including CPT and ICD-9 coding. Coding Certificate desired (CPC, CCS).
  • Excellent verbal and written communication skills and ability to effectively deal with customer complaints and concerns.
  • Work organization, problem solving, and basic math skills.
  • Ability to make decisions and support them with documentation.
  • Knowledge of, and the ability to learn: Microsoft Office Products, Internal software systems, the internet and overall familiarity with personal computers is required, as well as the ability to work with dual computer monitors preferred.
  • Salesforce experience a plus.
  • Employee is required to have at minimum an internet speed of 75 Mbps (standard high-speed internet access).

Working Conditions:

  • Flexibility to work in an office and/or at-home, remote office environment.
  • Overtime and/or schedule flexibility are occasionally necessary in this position. Individual may be required to attend key business/departmental meetings and/or perform certain business critical job functions outside of normal working hours.
  • Physical Demands: Must be able to communicate internally and externally through receiving and responding to auditory and visual methods.


What you’ll get in return:

  • Competitive base pay + annual bonus
  • Competitive medical plans
  • Telemedicine services
  • Paid parental leave
  • 24/7 employee assistance and wellness support
  • Free international healthcare coverage

Other great perks:

  • Remote work
  • Work‑abroad arrangements available
  • Generous PTO accrual with carry‑over options
  • 9 paid holidays, plus one floating holiday and one volunteer day
  • Tuition reimbursement
  • Career development and learning opportunities
  • 401(k) with generous company match
  • Pet insurance options
  • Identity theft and legal coverage
  • Ongoing focus on well‑being, including virtual wellness resources and mindfulness events


Please visit the employee benefits page on our website for more information on our benefits and perks that support your overall well-being.

Competitive base pay starting at $23.23/hr
Compensation is based on prior/relevant experience and skill level in a similar role.