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Blue Shield of CA

Enrollment Processor, Advanced (I&B)

Career Insights for Claims Processor

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Based on California data

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What they do

A Claims Processor reviews and processes insurance claims and determines whether an insurance policy will cover a claim. Gathers information from policy holders and organizes insurance files; may process checks with payments to policy holders when a claim is approved.

$48,411 / year median in California

-8% projected decline

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Job Description

Enrollment Processor, Advanced (I&B) Blue Shield of CA United States, California, Rancho Cordova Sep 08, 2026 Your Role The Installation and Billing Team processes member enrollments to provide access to care for our members and ensure accuracy of billing. The Enrollment Processor Advanced, will report to the Operations Supervisor. In this role you will process member level data and information using automated systems within established production and quality standards, in addition to processing new member additions, eligibility updates and reports within established production and quality standards. 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 Requires High School Diploma or GED Requires at least 5 years of prior relevant experience

Requires basic job knowledge of systems and procedures within Enrollment Processing

Intermediate-Advanced skills creating documents/files using Excel, Outlook, Power Point, and Word

Knowledge of medical plans and benefits 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.

Benefits

  • Dental Insurance