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Claim Technician

Health Care Service Corporation · Springfield, IL · $17.75–$26.17 an hour · Full time

Posted Sep 9, 2026 · We last checked this listing on Oct 6, 2026

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Likely interview questions for this role

Written from this job description, not a generic list. Each one notes what the interviewer is really checking.

About your past

Tell me about your experience processing medical claims. What kinds of claims did you handle and in what system?

What they are checking: Whether they have real claims experience and can speak about it with specifics.

The Blue Chip training class runs six to eight weeks onsite in Springfield. How do you prepare to learn a big system like that?

What they are checking: Whether they can commit to a long, structured training and learn a system thoroughly before working alone.

Tell me about a time you caught your own mistake after you had already submitted something.

What they are checking: Whether they own and fix errors quickly, since a wrong payment costs real money and trust.

After training, this job can be done from home full time. How do you stay focused and productive working remotely?

What they are checking: Whether they have real habits that keep their output steady without someone nearby.

What would you do

A claim is pended and the notes are unclear. Walk me through how you figure out why it stopped and what it needs.

What they are checking: Whether they investigate methodically instead of forcing a claim through or sending it back unresolved.

You are behind on your production numbers and you have a hard claim in front of you. What do you do?

What they are checking: Whether they protect accuracy under pressure instead of guessing to hit a count.

You notice the same provider keeps submitting claims with the same error. What do you do beyond fixing each one?

What they are checking: Whether they notice patterns and flag them so the root cause gets addressed.

About the work

Explain coordination of benefits in your own words. How do you decide which plan pays first?

What they are checking: Whether they understand COB rules well enough to avoid paying claims that another plan should cover.

What is the difference between a CPT code, a HCPCS code and an ICD code, and when might they not line up on a claim?

What they are checking: Whether they know enough coding to spot a claim where the diagnosis does not support the service billed.

How do you write a note on a claim so the next person understands exactly what you did and why?

What they are checking: Whether their written notes are clear enough that a claim can be picked up without redoing their research.

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The full job description

As published by Health Care Service Corporation.

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary Under supervision, this position is responsible for processing complex claims requiring further investigation, including coordination of benefits and resolving pended claims. Required Job Qualifications: * High School diploma or GED. * Data entry and/or typing experience. * Clear and concise written and verbal communication skills. * Experience processing medical claims. Preferred Job Qualifications: * Referral preference given to applicants able to take and meet testing criteria. * Must have trained on the six-eight-week Blue Chip claims processing system or have the ability to fully complete the six-eight-week Blue Chip Training class. * Knowledge of medical terminology and CPT, HCPCS, and ICD9 coding. * Knowledge of coordination of benefits principles and terminology. * Experience with multi-tasking and prioritizing. This role requires onsite training in our Springfield, IL office. The option to work-from-home full time will be available upon successful completion of all training requirements. Sponsorship is not available INKT INDM Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. HCSC Employment Statement: We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. Base Pay Range $17.75 - $26.17 Exact compensation may vary based on skills, experience, and location.

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