Claims Trainee

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.