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About the Role

BlueCross BlueShield of Tennessee is seeking detail-focused and service-oriented professionals for the Claims Trainee position. Ideal candidates will thrive in a structured work setting and have a strong eye for precision, particularly when interpreting and applying online guidelines to process claims. The role demands efficient time management to meet predefined productivity and accuracy standards.

Key Responsibilities

Process routine claims by following established online procedures, entering and validating claims data accurately.
Assess the completeness and reliability of claims information to support appropriate claim decisions.
Refer claim issues or exceptions to higher-level teams or suitable support units and ensure timely resolution through follow-ups.
Conduct initial claim investigations by collecting and documenting relevant details as part of basic investigative tasks.
Maintain clear and professional communication throughout the claim handling process.
Meet or exceed performance standards and pass mandatory assessments required for the position.
Adhere to overtime requirements when necessary and uphold audit-ready documentation standards consistently.

Training and Work Schedule

The role is fully remote with employment starting on October 12, 2026.
Training lasts approximately 12 weeks, scheduled Monday through Friday from 8:00 a.m. to 4:45 p.m. EST, with mandatory camera use during sessions.
Post-training, employees will have flexible 8-hour shifts within the window of 5:00 a.m. to 7:00 p.m. EST, usually commencing six months after training ends.

Required Qualifications and Skills

Minimum educational requirement is a high school diploma or its equivalent.
Proficiency in Microsoft Office suite including Outlook, Word, Excel, and PowerPoint.
Strong verbal and written communication abilities.
Effective interpersonal and organizational skills.
Excellent time management capabilities.
Ability to work independently and make sound decisions while solving problems efficiently.
Current employees must meet the company’s minimum performance expectations.

Additional Information

Applicants must successfully pass required assessments to qualify.
Overtime work may be required based on business needs.
This position does not offer sponsorship.
BlueCross BlueShield of Tennessee is committed to equal employment opportunity, promoting inclusivity regardless of race, gender, disability, or other protected categories.
Search firms are not welcomed to submit candidates without a valid direct placement agreement.

Claims Trainee