Claims Processing Clerk, Sr. jobs in Baton Rouge, LA

Claims Processing Clerk, Sr. receives and inputs new healthcare claims, processes payments, conducts billing research, and responds to telephone inquires. Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Being a Claims Processing Clerk, Sr. produces routine and ad hoc reports. Requires a high school diploma. Additionally, Claims Processing Clerk, Sr. typically reports to a supervisor. The Claims Processing Clerk, Sr. works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Claims Processing Clerk, Sr. typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)

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Mail Processing Clerk
  • Blue Cross Blue Shield of Louisiana
  • Baton Rouge, LA FULL_TIME
  • We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross.

    Residency in or relocation to Louisiana is preferred for all positions.

    Grade 2

    POSITION PURPOSE

    Process incoming and outgoing mail and sorts incoming claims by designated lines of business in a timely manner.

    NATURE AND SCOPE

    • This role does not manage people
    • This role reports to this job: MANAGER, MAIL SERVICES & MATERIAL MGT
    • Necessary Contacts: To effectively fulfill this position, the incumbent must be in contact with:All levels of BCBSLA personnel, postal employees, and external vendors.QUALIFICATIONS:

    QUALIFICATIONS

    Education

    • High School Diploma or equivalent required
    • Additional training or education preferred

    Work Experience

    • At least 1-year previous experience operating postal equipment and working in a mailroom environment required.

    Skills and Abilities

    • Must have effective communication and interpersonal skills enough to maintain cooperative working relationships with customers and co-workers. Ability to follow written and verbal directions with attention to details necessary.
    • Must be able to operate a calculator, computer, other office equipment and perform simple math functions.
    • Must possess organizational skills with demonstrated ability to establish priorities and perform multiple tasks. Ability and skills to effectively work with a diverse group of people necessary.

    Licenses and Certifications

    • None Required

    ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS

    • Open, clean, and sort incoming premium payments, incoming claims with the Opex machine and separate by lines of business ensuring that all incoming mail is processed in a timely manner.
    • Inbound and count all accountable mail for the organization.
    • Deliver incoming mail to respective departments and auxiliary mailrooms.
    • Delivers all accountable mail to respective departments for signature delivery.
    • Document department's daily production and postage expenditures used corporate wide to track postage expense with correct cost centers.
    • Process daily outgoing mail using the SendPro machine to affix appropriate postage for letters and parcels.
    • Clean, process, count, record, and deliver return mail to the respective areas
    • Prepare all certified letters for mailing for WFH teams.
    • Any additional ad-hoc jobs that are related to Mail Services

    Additional Accountabilities and Essential Functions

    The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions

    • Perform other job-related duties as assigned, within your scope of responsibilities.
    • Job duties are performed in a normal and clean office environment with normal noise levels.
    • Work is predominately done while standing or sitting.
    • The ability to comprehend, document, calculate, visualize, and analyze are required.

    \#LI_JH1

    An Equal Opportunity Employer

    All BCBSLA EMPLOYEES please apply through Workday Careers.

    PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI)

    Additional Information

    Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account.

    If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact recruiting@bcbsla.com for assistance.

    In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free.

    Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner.

    Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.

    JOB CATEGORY: Administration, Facilities & Secretarial

  • 2 Days Ago

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Claims Specialist
  • Dupre Logistics, LLC
  • Baton Rouge, LA FULL_TIME
  • Activities The Risk Management Claims Specialist will assist with corporate insurance and risk management related matters supporting day-to-day administrative activities and management of regular in-h...
  • 21 Days Ago

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Claims Representative
  • LWCC People Operations
  • Baton Rouge, LA FULL_TIME
  • Overview Investigates, evaluates, and handles assigned claims through final disposition in accordance with company procedures. Investigates coverage and compensability issues. Handles lost time claims...
  • 12 Days Ago

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Claims Attorney
  • LWCC People Operations
  • Baton Rouge, LA FULL_TIME
  • Overview The Claims Attorney’s primary objective is to represent LWCC and/or its policyholders in court or legal proceedings. Major Areas of Accountability Represents LWCC and/or its policyholders in ...
  • 12 Days Ago

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Claims Attorney
  • LWCC
  • Baton Rouge, LA FULL_TIME
  • LWCC is a Champion of Louisiana business and proud to be headquartered in the state capital, Baton Rouge. As a model single-state, private mutual workers’ comp company, we promote safety, security, an...
  • 26 Days Ago

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Clerk
  • EPIC PIPING, LLC
  • Livingston, LA FULL_TIME
  • Epic Piping has an exciting opportunity available for a Clerk to be an integral part of our Materials team. Epic takes pride in our quality of work and has a goal of building our workforce with the mo...
  • 1 Day Ago

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0 Claims Processing Clerk, Sr. jobs found in Baton Rouge, LA area

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Maritime Compliance Manager
  • Parker Towing Company
  • Baton Rouge, LA
  • GENERAL JOB DESCRIPTION: As Maritime Compliance Manager, you will be responsible for reviewing, assessing and evaluating...
  • 4/26/2024 12:00:00 AM

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Maritime Compliance Manager
  • Parker Towing Company
  • Baton Rouge, LA
  • GENERAL JOB DESCRIPTION: As Maritime Compliance Manager, you will be responsible for reviewing, assessing and evaluating...
  • 4/25/2024 12:00:00 AM

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Quality/Compliance Coordinator - Imaging Services - Full Time
  • Woman's Hospital Foundation
  • Baton Rouge, LA
  • The Quality/Compliance Coordinator coordinates the assessment, planning, implementation and evaluation of quality improv...
  • 4/25/2024 12:00:00 AM

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Remote - Insurance Broker
  • Thompson Agency
  • Baton Rouge, LA
  • MUST HAVE: Ready to start IMMEDIATELY WINNERS Mindset Self-Motivated HUNGRY TO WIN Goal Oriented Believer in Self-Discip...
  • 4/25/2024 12:00:00 AM

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INSURANCE AGENT - REMOTE
  • The Slaton Agency
  • Baton Rouge, LA
  • Are you looking to take your career in a new direction or are you already a licensed insurance agent? At The Slaton Agen...
  • 4/25/2024 12:00:00 AM

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Insurance Agent
  • Bankers Life
  • Baton Rouge, LA
  • Bankers Life seeks professionals for a dynamic hybrid remote work environment. Start your insurance agent career and ear...
  • 4/25/2024 12:00:00 AM

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Case Underwriter II
  • Trustmark
  • Baton Rouge, LA
  • Trustmark's mission is to improve wellbeing - for everyone. It is a mission grounded in a belief in equality and born fr...
  • 4/24/2024 12:00:00 AM

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Integrated Absence Claims Specialist
  • Lincoln Financial Group
  • Baton Rouge, LA
  • Lincoln Financial Group Integrated Absence Claims Specialist Baton Rouge , Louisiana Apply Now Alternate Locations: Phoe...
  • 4/24/2024 12:00:00 AM

Baton Rouge (/ˌbætən ˈruːʒ/ BAT-ən ROOZH; from French bâton rouge [bɑtɔ̃ ʁuʒ] (listen), meaning 'red stick') is the capital of the U.S. state of Louisiana. Located on the eastern bank of the Mississippi River, it is the parish seat of East Baton Rouge Parish, the most populous parish in Louisiana. It is the 99th most populous city in the United States, and second-largest city in Louisiana after New Orleans. It is also the 16th most populous state capital. As of the U.S. Census Bureau's July 2017 estimate, Baton Rouge had a population of 227,549, down from 229,493 at the 2010 census. Baton Rou...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Clerk, Sr. jobs
$45,628 to $56,278
Baton Rouge, Louisiana area prices
were up 1.2% from a year ago

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