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Claims Technician

Florence, South Carolina

Full-time

Onsite

New Grad, Entry Level

BlueCross BlueShield of South Carolina is currently hiring for a Claims Customer Service Manager to join their team. The role involves performing clerical duties related to claims processing, ensuring timely and accurate handling of claims and correspondence.

Computer Software

No H1B

Security Clearance Required

U.S. Citizen Only

Responsibilities

Receives, opens, sorts and distributes incoming departmental mail or work requests

Checks workflow documents to ensure required information is available

Requests any missing documentation as needed

Scans all documents for storage in the electronic repository

Prepares correspondence or packages for internal/external mailing

Screens and verifies information

Ensures 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

Conducts data element verification of data elements for those that fail the mapping process prior to claims adjudication

Applies appropriate indexes as needed to claims and/or correspondence

Maintains departmental logs, spreadsheets or databases

Effectively uses all available reference materials in performance of daily functions

Keeps track of supply inventory and/or orders supplies as needed

Qualification

Analytical skillsOrganizational skillsData verificationWord processingSpreadsheet applicationsTyping speedCommunication skillsDetail-orientedConfidentiality