Your Role The ​Shared Advantage​ team ​is a multi-functional team providing services and support for third-party administrators (TPA), including claims processing, high dollar review, written correspondence, client services concierge phone support, e-mail and correspondence,​. The ​Claim Processor, Intermediate​ will report to the ​Shared Advantage supervisor​. In this role you will learn to process and adjust simple and complex claims, apply return files, and respond to written correspondence​. 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 Work In this role, you will: • Be experienced in back-end processing; proficient in resolving complex edits using available documents/job aids with minimum direction • Experience front-end processing and difficult adjustments • Be given special processing assignments; coordinate with other departments for resolution if needed • Understand fundamentals of end-to-end (life of a clam) claims processing • Perform established performance metrics • ​​Compose correspondence to answer claims/provider inquiries in writing​ • ​​Support Blue Shield's mission of being a great place to do meaningful work​ • ​​Drive and support a positive team culture​ Your Knowledge and Experience • Requires High School Diploma or GED or 1 year of additional relevant experience in lieu of diploma • Requires 1-3 years prior relevant experience • Ability to problem-solve and resolve complex claims issues • Maintain professionalism and a positive attitude • Be dependable, reliable, responsible and can work independently • Have excellent interpersonal communication skills and work well within a team 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.