Summary
 

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!

Position Purpose:

We are hiring a Claims Customer Service Manager. In this role, you will be responsible for managing claims and customer service areas.

Description
 

Logistics:

This position is full-time (40 hours/week, 8 hours/day) Monday – Friday working onsite at Government Programs Complex - 17 Technology Circle, Columbia, SC

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:

• Required Education: Bachelor’s

• Required 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.

• 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.)

• Required Skills and Abilities:

  • 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.

• Required Software and Tools:

  • Microsoft Office.

We Prefer You to Have:

• 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.

• Knowledge of medical management and membership systems.

• Medicare Advantage experience

• Good Reporting skills

• Good Excel skills

• Smartsheets

• Exceptional Customer-Facing Skills

What Blue 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.

Our comprehensive benefits package includes:

• 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 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 be conducting 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 [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.

 

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.