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Claims Operations Expert at Blue Cross and Blue Shield of North Carolina - ApplyBlast

Claims Operations Expert

Blue Cross and Blue Shield of North Carolina

3 months ago

4.0 on Glassdoor

Remote

Full Time

Senior

0 applicants

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About this role

The Claims Operations Expert serves as a subject matter authority to accelerate claims resolution, manage production schedules, and support inventory management. The role handles escalated claims, identifies workflow improvements, conducts forensic analysis for potential fraud, and acts as a liaison for compliance and audit activities.

Responsibilities

Serve as subject matter expert for claims inquiries
Resolve escalated claims and manage production schedule
Identify and address workflow errors and process improvements
Conduct forensic analysis to detect fraud
Act as point of contact for audits and compliance

Skills

About Blue Cross and Blue Shield of North Carolina

bluecrossnc.com

Headquarters

Durham, North Carolina, United States

Company Size

5001-10000 employees

Founded

1933

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Blue Cross NC makes health insurance easy. Discover employer, individual, family, Medicare & Medicaid plans from Blue Cross NC. Better care starts here.