Summary
 

Manages claims and customer service areas.

Description
 

Logistics:
This position is full time (40 hours/week) Monday-Friday in a typical office environment. Travel to multiple client locations, in and out of town, needed. This role is located on-site at 4101 Percival Road, Columbia SC - Internal Candidates Only

What You’ll Do:

• Manages staff responsible for providing excellent customer service and timely and accurate processing of claims or appeals. Ensures department standards for production, timeliness, and quality are met.
• Prepares and reviews management reports. Monitors monthly reports to ensure department standards for production, timeliness, and quality are met. Makes recommendations for process improvements.
• Maintains effective relationships with internal and external customers by assisting with inquiries and resolving issues.

To Qualify for This Position, You’ll Need:

• Bachelor’s Degree Equivalency: 4-years job related work experience or Associate’s and 2-years job related work experience. (Equivalency not applicable for the Celerian Group. Bachelor’s degree required).
• 3-years of insurance experience in claims or appeals processing and customer service. 1-year of supervisory/team lead experience OR 1-year of equivalent military experience in grade E4 or above.
• Strong oral and written communication and organizational skills. 
• Excellent customer service skills. 
• Good judgment. 
• Ability to persuade, negotiate, or influence. 
• Proficient spelling, punctuation, and grammar.
• Microsoft office.

What we Prefer:

• 5 years-of insurance experience in claims processing and customer service. 2 years-of supervisory/team lead experience OR 2 years of equivalent military experience in grade E4 or above (may be concurrent).
• Demonstrated project management and presentation skills. Basic business math skills. Extensive knowledge of insurance law.
• Knowledge of medical management and membership systems.
• Preferred Licenses and Certificates: Fellow of the Life Management Institute or equivalent.
• Travel required as necessary.

What We can Do for You:
We offer our employees great benefits and rewards. You will be eligible to take part in the benefits the first of the month following 28 days of employment.  
Subsidized health plans, dental and vision coverage

• 401K retirement savings plan with company match
• Life Insurance
• Paid Time Off (PTO)
• On-site cafeterias and fitness centers in major locations
• Wellness program and healthy lifestyle premium discount
• Tuition assistance
• Service recognition
• Employee Assistance
• Discounts to movies, theaters, zoos, theme parks and more

What to Expect Next:
After submitting your application, our recruiting team members will review your resume to ensure your 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 be conducting interviews with the most qualified candidates, 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 [email protected] 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.