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Key Responsibilities:
- Audits claims, customer service inquiries, and enrollment activities.
- Supports internal audit and special investigations.
- Prepares reports and maintains documentation for audits.
Qualifications:
- High school diploma or GED required.
- Minimum 5 years experience in Claims, Membership, or Customer Service.
- Audit or analytical experience preferred.
Skills:
- Research, analytical, and problem-solving skills.
- Effective communication skills.
- Proficiency in Excel, Facets, FEP Direct, and SharePoint.
About Capital Blue Cross:
- Health insurance company committed to improving community health.
- Voted one of 'Best Places to Work in PA' with flexible remote culture.
Capital Blue Cross
Capital Blue Cross is a health insurance company providing coverage and services. They have been voted one of the 'Best Places to Work in PA' and foster a flexible, supportive culture with emphasis on employee well-being.