Summary

Position Purpose:
In the role as the Claims Technician, the ideal candidate 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. One will also apply knowledge of department policies and procedures and utilizes a general understanding of other departments' functions. As a claims technician, one will maintain records, prepare forms, verify information, and resolve routine problems while ensuring claims are processed in a timely manner.

Description

Claims Technician – PGBA

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!

Logistics:

This is a full-time position (40 hours per week) working: Monday – Tuesday 7:30am – 6:00pm, Wednesday – Thursday 7:30am – 1:30pm, and Friday 7:30am – 4:00pm or working a traditional 8 hour shift 7:30am – 4:30 pm reporting onsite to 200 North Dozier Boulevard, Florence, SC 29501.

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 claims and/or correspondence

• Maintain departmental logs, spreadsheets or databases

• Effectively uses 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

• Good organizational skills

• Detail-oriented

• Ability to handle confidential or sensitive information with discretion

What We Prefer:

• Ability to accurately key 5000 ksph or 30 wpm.

• Knowledgeable in word processing and spreadsheet applications

• Claims knowledge

• Document management knowledge

• Willingness to Learn

What We can Do for You:

We offer our employees great benefits and rewards. You will be eligible to participate 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. If the qualifications require proof of semester hours, please attach your transcript to your application.

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.

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 abilities@bcbssc.com or call 1-800-288-2227, ext. 43172 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.