Logistics 

This position is full-time (40 hours/week) Monday-Friday with the hours changing weekly from 7:30am-4:00pm and 8:30am-5:00pm. This position may require overtime on Saturdays based on business needsThis position is fully on-site at the Government Programs Complex in Columbia, SC. 

What You Will Do: 

• Ensures effective customer relations by responding accurately, timely, and courteously to telephone, written, web, or walk-in inquiries. Handles situations which may require adaptation of response or extensive research. Identifies incorrectly processed claims and processes adjustments and reprocessing actions according to department guidelines. 

• Examines and processes claims and/or non-medical appeals according to business/contract regulations, internal standards and examining guidelines. Enters claims into the claim system after verification of correct coding of procedures and diagnosis codes. Ensures claims are processing according to established quality and production standards. 

• Identifies complaints and inquiries of a complex level that cannot be resolved following desk procedures and guidelines and refers these to a lead or manager for resolution. Identifies and reports potential fraud and abuse situations. 

To Qualify for This Position, You Will Need: 

• High School Diploma or equivalent 

• 2 years of customer service experience including 1 year claims or appeals processing OR Bachelor's Degree in lieu of work experience. 

• Good verbal and written communication skills.  

• Strong customer service skills. 

• Good spelling, punctuation and grammar skills. 

• Basic business math proficiency. 

• Ability to handle confidential or sensitive information with discretion. 

What We Prefer:  

• At least 1 year of processing, researching, and adjudicating claims. 

What We Can Do for You: 

• 401(k) retirement savings plan with company match. 

• Subsidized 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 major locations. 

• Wellness programs and healthy lifestyle premium discount. 

• Tuition assistance. 

• Service recognition. 

• Incentive Plan. 

• Merit Plan. 

• Continuing education funds for additional certifications and certification renewal. 

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 a recruiter to verify resume specifics and salary requirements.  

Management will be conducting interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications.