Trainer/Senior Trainer (Former Employee), El Dorado Hills, CA – December 31, 2013
In the 13 years I was at Blue Shield of CA, I had several opportunities to advance. We had fun team meetings each month and yearly team building workshops that were always informative. Management changed several times in my years at Blue Shield but for the most part they were all reasonable to work with. The hardest part of being a trainer was having – more... all of the material ready for a class and then having it delayed for an uncertain amount of time. It is understandable and I would work on course ware until informed of the start date. The most enjoyable part was working with the new hires. I loved the challenge of teaching and watching the concepts come to life in my trainees. – less
Currently experiencing positive culture shift and transformation
Vendor Management Specialist (Current Employee), San Francisco, CA – December 16, 2013
Over the past 3 years, Blue Shield of California has made significant strides to improve the overall culture of the company and transform it into a market leading organization. However, outdated systems negate productivity and create strains throughout the organization causing many inefficiencies.
Lead Customer Service Representative (Former Employee), El Dorado Hills, CA – December 12, 2013
Pros: good benefits
Cons: finding a balance with member satisfation and company goals.
A typical day at work is member focus on retention, satisfaction, resolution for calls received. I learned that a lengthy call does not mean a good call. Offering exceptional soft skills with timely resolution. Management was undergoing change and the effect on the call center was dealt with minimal employee impact. For the most part the call center – more... was a family who provided an atmosphere for working together and working together to create fun, satisfaction and everyone working towards the greater goal of meeting expectations. The most enjoyable part of the job was in creating member satisfaction. – less
Senior Provider Dispute Resolution Coordinator (Former Employee), El Dorado Hills, CA – November 4, 2013
Pros: great benefits, excellent team support.
Cons: gossiping employees.
I worked at Blue Shield of California for five years. During that time I learned a lot about the world of health insurance. I worked directly with multiple departments within the company, as well as medical groups and physicians. For the most part my co-workers were great. As with any job, some employees put more energy into gossiping rather than working. – more... The most enjoyable part of the job was the daily challenge. There was always something different and complex about the cases or projects I worked on. – less
I totally agree with the hostile work environment poster in EDH - were you in Provider Services?
Provider Services Operations Processor (Former Employee), El Dorado Hills – October 30, 2013
Pros: weight watchers at work, gym on campus
Cons: management, little to no raises, no advancement
I couldn't agree more with this person. Zero room for advancement and the supervisors play favorites. They only advance the employees that brown nose. I worked so hard and had nothing to show for it as far as being promoted. There are a lot of bad office politics and the previous poster was right about creating teams to fix problems. Nobody knows what – more... they are doing. You can't go to leads for help because they don't know what they are doing either and the supervisors don't have the slightest clue. At Blue Shield, the only way you will survive is if you like to brown nose, no joke. It is disgusting. They have a very poor merit increase (raise) system where you have to fill out this packet and answer tons of questions of how you tried to make the company better. I always dreaded when that time came. I never received even a 25 cent raise. They pile and pile and pile work on you and expect you to do it with little to no direction or training. The computer system is always having problems. I really can't say too many positive things about the company at all. Some of my co-workers were ok but in the end, everyone was miserable. Some just hid it better than others. The training is awful and the auditing process is not fair. What will be incorrect one day will be correct the next, it just depends on who is auditing your work and what kind of a mood they are in on any given day. They have way too many meetings that don't accomplish anything but making you get further behind on your work. I could go on all day but I think you get the idea. No bueno. – less
Employee (Current Employee), El Dorado Hills, CA – October 23, 2013
I have been here for a decade, and it is a miserable place to work. Management tries to improve things with special "teams" to work on the issues, but these projects always fall apart. I was on one of the "teams" last year, and we stopped meeting. The problems we were trying to resolve are still there, but they are not being worked on anymore.
Supervisors – more... have favorites, and do not handle issues. There is a no retaliation policy if you report these issues, but I know of two people who reported problems. One person was terminated, and the other person was called into a one on one meeting with the supervisor that was reported and lectured on back stabbing. It is a miserable place to work.
Equipment does not function (printers, computers, the network, etc).
Also, despite the fact that it is an insurance company, you have to pay for your medical/dental/vision coverage. I understand paying to cover my spouse and children, but having to pay for my own coverage is crazy.
Facility Processor (Former Employee), california – October 7, 2013
Pros: always room for advancement
Started Blue Shield of California as a Customer Service representative. 2 1/2 years with the Company I transferred to a Lead claims processor. I investigated & adjudicated pending claims on mainframe ClaimFacts and QicLink systems as well as Nasco systems. • Provided timely customer service to members, providers, billing departments • Research and take – more... action in response to telephone and written inquires • Enter and check over claims into system • Send system generated letters to providers Processed claim forms, adjudicates for provision of deductibles, co-pays, co-insurance maximums • Performed audit of randomly selected claims to ensure quality processing • Researches claim overpayments and requests funds • Followed adjudication policies and procedures to make sure proper payment of claims – less
Vice President-Customer Care (Former Employee), El Dorado, CA – September 24, 2013
Pros: good people
Cons: lack of technological sophistication; way behind the times in every area
Very fast paced with the passage of the Affordable Care Act. Fighting for the future and very uncertain about what lies ahead. Good, talented management at the top. Co-workers easy to work with. Hardest part of the job was the changing rules of the industry. Most enjoyable part was the progress we were able to make in several areas
Case manager (Current Employee), El Dorado Hills, CA – September 21, 2013
Pros: good compensation.
Cons: micro-management / stressful environment
This company supports the good health of the employees with a Wellness program that provides a generous discount on insurance premiums.
The continuing education offered to nurses at Blue Shield is excellent.
The medical management physicians are great to work with.
There are opportunities to work from home but that is controlled by the team manager – more... and not always fairly. It is an atmosphere of constant change and can be overwhelming with frequent new programs, training sessions and meetings that take up your work time. Productivity expectations are unrealistic and the pressure to meet them is ongoing and unrelenting. – less
Excellent work environment, encourages advancement with education & seminars
Senior Accountant (Former Employee), San Francisco, CA – August 21, 2013
Pros: excellent organization; encourages advancement with education & seminars
Enjoyed working & interacting with numerous division within Blue Shield. Management was very encouraging and willing to teach you different methods/procedures in their division. Co-workers in Accounting were set in their ways, but willing to adapt and work with new accountants. I was cross trained to cover all accountants desk when they were out on – more... vacation so I was very fortunate to learn numerous procedures which benefited me. My job was very enjoyable because of all the friendly staff and the office was located across from Pier 39 and the Cruise Terminal so we get to see all the cruise ships sail in & out. – less