• Job Description

  Req#: R1038742

  
  Summary
  

  Functions as the team lead and subject-matter expert for a claims area. Responsible for creating reports, distributing workload and training new employees.

  
  Description
  

  Location: Columbia, SC

  What You'll Do:

  Job Description

  • Responds accurately and timely to inquiries from team members, including management, concerning claims processing and other technical issues. Investigates and initiates resolutions to complex claims problems.
  • Trains and assists new employees and unit personnel to ensure consistent application of established guidelines.
  • Identifies issues with procedures and processes and provides feedback to management on changes and development.
  • Serves as liaison with other departments to address claim, system and quality issues. May perform some testing functions and attend/participate in meetings as needed.

  
  

  To Qualify for This Position, You'll Need:

  • Required Education: High School Diploma or equivalent.
  • Required Work Experience: 4 years of experience processing, researching and adjudicating claims.
  • Required Skills and Abilities:
  • Strong organizational, analytical and problem-solving skills.
  • Strong verbal and written communication skills.
  • Strong interpersonal and time-management skills.
  • Strong spelling, punctuation and grammar skills.
  • Basic business math proficiency.
  • Ability to handle confidential or sensitive information with discretion.

  • Work Environment:

  • Typical office environment.

  What we prefer you to have:

  • Preferred Education: Associate degree.
  • Preferred Skills and Abilities: Knowledge of mathematical or statistical concepts. Ability to persuade, negotiate or influence.
  • Preferred Software and Other Tools: Proficient in database software.
    
    

  Our comprehensive benefits package includes the following:

  • 401(k) retirement savings plan with company match
  • Fantastic health plans and free vision coverage
  • Life insurance
  • Paid annual leave — the longer you work here, the more you earn
  • Nine paid holidays
  • On-site cafeterias and fitness centers in significant locations
  • Wellness programs and a healthy lifestyle premium discount
  • Tuition assistance
  • Service Recognition

  What We Can Do for You:

  We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

  What to Expect Next:

  After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Management will conduct interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications.

  
  
  

  We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.

  Some states have required notifications. Here's more information .

  Equal Employment Opportunity Statement

  BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

  We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.

  If you need special assistance or an accommodation while seeking employment, please e-mail mycareer.help@bcbssc.com or call 1-800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

• About the company

  When you hear "BlueCross BlueShield of South Carolina," you'll see people nodding in recognition. Most everyone knows who we are. As the only South Carolina-owned and operated health insurance carrier, we have been offering security to Palmetto State citizens for more than 70 years. We are also one of South Carolina's largest employers.

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