Summary
 

We are currently hiring for a Claims Customer Service Manager to join BlueCross BlueShield of South Carolina. You will be responsible for managing claims and customer service areas.

Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation’s leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!

Here is your opportunity to join a dynamic team at a diverse company with secure, community roots and an innovative future.

Description
 

Logistics:

This position is full time (40 hours/week) Monday-Friday in a typical office environment. Employees are required to work our Monday – Friday 8-hour shift scheduled during hours of 8:00 AM – 4:30 PM. Training will be Monday – Friday 8:30 AM -4:30 PM for approximately 6-8 weeks.

This role is located on-site at 4400 Leeds Avenue, Charleston, SC 29405

What you will 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 will need:

• Bachelor's Degree
• Degree Equivalency: 4 years job related work experience or Associate's and 2 years job related work experience
• 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 of 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.
• 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 experience.

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).
• Preferred Skills and Abilities:
• 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.

Work Environment:

• Typical office environment
• Travel required as necessary.

What We Can Do for You:

Our comprehensive benefits package includes:

• 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

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 the most qualified candidates, with prioritization give 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.