Claims Processor, Intermediate Blue Shield of CA United States, California, Rancho Cordova Sep 30, 2026 Your Role The Blue Shield of California Claims teams process claims and adjustments for Blue Shield of California members that receive services performed in, or our 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. Your Knowledge and Experience Claims Processor, Intermediate High School Diploma or GED or 1 year of additional relevant experience in lieu of a diploma

Requires 3 years of relevant experience

Knowledge of medical plans and benefits

Requires basic job knowledge of systems and procedures within Claims Processing

Understands fundamentals of end-to-end (life of a claim) claims processing

Experienced in back-end processing, proficient in resolving complex edits Intermediate-Advanced skills creating documents/files using Excel, Outlook, PowerPoint, and Word 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. Notify me of jobs like this