Blue Shield's provider networks are among the largest in California, making it likely that your doctor and any specialists you need are already in our network. Find an Access+ HMO Network Provider. How to find a Personal Physician (Primary Care Physician): Search for a physician (above) and you will be directed to a new page. Then, select Advanced Search and type HMO Personal Physician in the box under Doctor Type or Specialty.
Job Duties of an Insurance Claims Specialist. An insurance claims specialist or claims examiner is responsible for reviewing insurance claims after they are submitted to make sure that proper filing procedures have been followed. Claims specialists may also assist insurance adjusters with complicated or unusual claims.
Insurance claims adjusters come with different titles, such as claims specialist, claims representative, or independent claims analyst, but they all do the same job.he result is that while an adjuster will know more than you about the claims business in general, he or she will not know your particular claim nearly as well as you do. You were there during the accident. You know what your injuries are, how much and where they hurt, and how long they have taken to heal.