Third Party Liability Associate

About Blue Cross And Blue Shield Of Minnesota

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.

This position is remote; however, preference will be given to Minnesota residents.

The Impact You Will Have

A Third-Party Liability associate is responsible for reviewing accident-related claims and correspondence to make payment determinations on claims when another party may be liable. This position is also responsible for handling and responding to inbound member, attorney, or other insurance phone calls, providing one call resolutions when possible, and conducting outbound calls as a part of the investigation process to determine other parties’ liability to ensure the responsible party pays for claims as an effort to reduce health care costs.

Your Responsibilities

• Handling incoming and outbound calls from injured members, attorneys, other insurance companies, and medical providers.
• Conducting research and investigating claims or correspondence to determine other party liability and make claim payment determinations.
• Performing within the acceptable range for productivity and telephone measures as required by the unit.
• Verifying and coordinating coverage limits and benefits with other auto, homeowners, and workers compensation carriers.
• Assisting with other special projects and tasks as directed by leadership based on business needs.

Required Skills And Experience

• 2+ years of related experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
• Call center experience handling inbound and outbound calls.
• Experience with computer proficiency.
• Excellent time management skills.
• Proficient with Microsoft Office.
• Demonstrated verbal acuity and conflict resolution skills.
• High school diploma (or equivalency) and legal authorization to work in the U.S.

Preferred Skills And Experience

• Knowledge of medical terminology.
• 1+ years of experience in healthcare or related industry.
• Third-Party Liability and Subrogation experience highly desired.
• Previous claims experience highly desired.

Compensation And Benefits

Pay Range: $21.50 - $24.59 - $29.51 Hourly

Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.

We Offer a Comprehensive Benefits Package Which May Include:

• Medical, dental, and vision insurance
• Life insurance
• 401k
• Paid Time Off (PTO)
• Volunteer Paid Time Off (VPTO)
• And more

To discover more about what we have to offer, please review our benefits page.

Role Designation

Remote

Teleworker

Role designation definition: Teleworking is working full time remote. Hybrid is a minimum of 2 days onsite. Onsite is full-time onsite.

Equal Employment Opportunity Statement

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan, as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to, and will not be discriminated against based on any legally protected characteristic.

Individuals with a disability who need a reasonable accommodation in order to apply, please contact us at: talent.acquisition@bluecrossmn.com.

Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association.

Key skills/competency

• Third Party Liability Associate
• Claims Review
• Payment Determination
• Member Communication
• Investigative Skills
• Call Center Operations
• Time Management
• Microsoft Office Proficiency
• Verbal Acuity
• Conflict Resolution