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Blue Shield Jobs (NOW HIRING)

Blue Shield

Sr. Manager, Executive Protection

Oakland, CA · On-site

$155 - $233/hr

Your Role The Corporate Security team is responsible for the safety and security of Blue Shield of California employees, visitors, and property including oversight of all elements of the Executive ...

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How much do blue shield jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for blue shield in the United States is $23.17, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $24.28 per hour, depending on experience, location, and employer.

What is a Blue Shield job?

A Blue Shield job typically refers to employment with Blue Shield, which is a major health insurance provider in the United States. Employees at Blue Shield work in various roles, including customer service, claims processing, healthcare analytics, IT, and administration. These roles are focused on supporting members, managing healthcare plans, and improving health outcomes. Working at Blue Shield often involves a commitment to improving access to quality healthcare and providing support to individuals and families. The company values diversity, inclusion, and innovation in the health insurance industry.

What are the key skills and qualifications needed to thrive as a Blue Shield customer service representative?

To thrive as a Blue Shield customer service representative, you need strong communication skills, knowledge of health insurance policies, and typically a high school diploma or equivalent. Familiarity with CRM software, claims processing systems, and Microsoft Office is often required. Patience, problem-solving, and empathy help build trust and effectively resolve member concerns. These skills are crucial for delivering accurate information, ensuring customer satisfaction, and maintaining compliance in a regulated industry.

What are some common challenges faced by employees working at Blue Shield, and how does the company support staff in overcoming them?

Employees at Blue Shield often work in fast-paced environments where they must balance regulatory compliance, customer service expectations, and evolving healthcare industry standards. Navigating complex insurance policies and addressing diverse customer needs can be challenging. Blue Shield supports its staff by providing comprehensive training programs, fostering a collaborative team environment, and offering access to employee resource groups and wellness initiatives. These resources help employees stay informed, manage stress, and develop professionally within the organization.

What is the difference between Blue Shield vs Health Insurance Agent?

AspectBlue ShieldHealth Insurance Agent
CredentialsLicenses, certifications in health insuranceLicenses, certifications in health insurance sales
Work EnvironmentCorporate, healthcare provider settingIndependent or agency-based sales environment
Employer & Industry UsageHealth insurance companies, healthcare industryInsurance agencies, brokerages, health insurance providers
Search & Comparison IntentUnderstanding health insurance plans & coverageComparing policies & selling health insurance products

Blue Shield is a health insurance provider offering coverage plans, while a Health Insurance Agent sells these plans on behalf of providers. The main difference lies in Blue Shield being a company, whereas the agent is a sales professional representing various insurance options. Both roles require similar certifications but serve different functions within the healthcare and insurance industries.

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Blue Shield jobs near you
Infographic showing various Blue Shield job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 74% Full Time, 11% Part Time, 12% Contract, and 1% Nights. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $48,184 per year, or $23.2 per hour.

Claims Processor, Intermediate (ITS Host & Home)

Blue Shield of California

Redding, CA • On-site

$20.13 - $28.18/hr

Full-time

Posted 8 days ago

Blue Shield Of California rating

8.3

Company rating: 8.3 out of 10

Based on 50 frontline employees who took The Breakroom Quiz

129th of 311 rated insurance

Job description


Your Role
The ITS Host and Home Claims teams process claims and adjustments for out of state Blue Cross Blue Shield members that receive services in California and for our Blue Shield of California members that receive services performed outside of California. The Claims Processor Intermediate will report to the Operations Supervisor. In this role you will be responsible for reviewing and adjudicating claims and/or adjustments in accordance with provider contracts and organizational policies and procedures to meet operational, financial, and service requirements.
Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
Responsibilities
Your Work
In this role, you will:
  • Be experienced in back-end processing; proficient in resolving complex edits using available documents/job aids with minimum direction.
  • Experience front-end processing and difficult adjustments.
  • Be given special processing assignments; coordinate with other departments for resolution if needed.
  • Understand fundamentals of end-to-end (life of a clam) claims processing
  • Perform established performance metrics.

Qualifications
Your Knowledge and Experience
  • Requires a high school diploma or GED
  • Requires at least 3 years of experience
  • Healthcare claims knowledge preferred, but not required
  • Healthcare operations or customer service experience preferred
  • Requires good communication skills both written and verbally
  • Requires the ability to make and receive phone calls both internally and externally while providing excellent customer service.

Hybrid Virtual Work
This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need.
About the Team
About Blue Shield of California
As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.
At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.
To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.
Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities - join us!
Our Values:
  • Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
  • Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
  • Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.

Our Workplace Model
We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:
  • For most teams, this means coming into the office two days per week.
  • Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.
  • For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.

The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.
Physical Requirements:
Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.
Please click here for further physical requirement detail.
Equal Employment Opportunity:
External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

What Blue Shield Of California employees say

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