Your Role

The Customer Services Concierge Support Intermediate will report to the Operations Supervisor. In this role you will resolve incoming calls and real-time chats from the TPA’s concerning claims status and authorizations.

You'll learn to process and adjust simple claims, apply return files, respond to written correspondence, and respond to email correspondence.

Your Work

In this role, you will :

• Resolve incoming calls as needed from third-party administrators regarding claims status and prior authorizations
• Assist members by locating providers within the Blue Shield network and finding the status of a prior authorization
• Answer email inquiries from TPA's regarding claims status and prior authorization
• Process and adjust simple claims, and apply return files
• Drive and support a positive team culture

Last updated : 2024-06-22