Capital Blue Cross
A Clinical Appeals Specialist at Capital Blue Cross supports the resolution of complex clinical complaints, grievances, and appeals. The role involves reviewing clinical documentation, interpreting data, and coordinating with internal and external stakeholders to ensure compliance and quality standards. It also includes providing expert guidance on policies and participating in departmental improvements.
Headquarters
Harrisburg, Pennsylvania, United States
Company Size
1001-5000 employees
Founded
1938
Capital Blue Cross is a regional health insurer serving Pennsylvania that provides medical and related coverage for individuals, families, employers and Medicare-eligible members. Its plans give access to a large network of doctors, hospitals and wellness resources, with care-management and preventive programs to help members stay healthy. The company emphasizes member-focused service and digital tools (online account management and provider search) to simplify care and claims. It positions itself as more than an insurer by partnering with employers, providers and community organizations to improve local health outcomes.
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
View leadership team, funding history,
and employee contacts for Capital Blue Cross.