Claims Technician

Posted:
12/30/2024, 2:49:45 PM

Location(s):
Florence, South Carolina, United States ⋅ South Carolina, United States

Experience Level(s):
Junior ⋅ Mid Level ⋅ Senior

Field(s):
Customer Success & Support

Workplace Type:
On-site


Summary
 

We are hiring a Claims Technician! In this role you will perform routine but varied clerical duties in accordance with standard procedures. This includes clerical duties such as photocopying, compiling records, filing, tabulating, posting information, distributing mail, screening, scanning, data element verification and document indexing. Applies knowledge of department policies and procedures and utilizes a general understanding of other departments' functions. Maintains records, prepares forms, verifies information, and resolves routine problems. In addition, ensure claims are processed in a timely manner.


Description
 

Logistics:

This position is full-time opportunity and onsite in Florence, SC. Training will take place on-site for the first 90 days.

What You’ll Do:

  • Receive, open, sort and distribute incoming departmental mail or work requests. Check workflow documents to ensure required information is available. Request any missing documentation as needed. Scan all documents for storage in the electronic repository. Prepare correspondence or packages for internal/external mailing.

  • Screen and verify information. Ensure proper and accurate processing flow of all paper claims and correspondence in accordance with department standards for quality and production, contract regulations, policies, and guidelines.

  • Conduct data element verification of data elements for those that fail the mapping process prior to claims adjudication. Apply appropriate indexes as needed to claim and/or correspondence.

  • Maintain departmental logs, spreadsheets, or databases. Effectively use all available reference materials in performance of daily functions.

  • Keep track of supply inventory and/or orders supplies as needed.

To Qualify for this Position, You’ll Need:

  • High School Diploma or Equivalent.

  • No previous work experience required.

  • Strong organizational and analytical skills.

  • Good communication and organizational skills.

  • Detail-oriented.

  • Ability to handle confidential or sensitive information with discretion.

We Prefer That You Have:

  • Ability to accurately key 5000 ksph or 30 wpm.

  • Knowledgeable in word processing and spreadsheet applications.

  • Knowledge of Microsoft Office Products.

What Blue Can Do for You:    

We understand the value of a diverse and inclusive workplace.  We strive to be an employer across all spectrums where employees can 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 decide 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.