Claims Technician jobs in United States
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BlueCross BlueShield of South Carolina · 1 day ago

Claims Technician

BlueCross BlueShield of South Carolina is a leading insurance company with deep community roots and a commitment to outstanding service. The Claims Customer Service Manager will perform clerical duties, ensure timely processing of claims, and maintain departmental records while adhering to company policies and procedures.

Financial ServicesHealth CareHealth InsuranceInsuranceMedical
badNo H1BnoteSecurity Clearance RequirednoteU.S. Citizen Onlynote

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 skillsData verificationOrganizational skillsWord processingSpreadsheet applicationsTyping speedCommunication skillsDetail-orientedConfidentiality

Required

High School Diploma or equivalent
Strong organizational and analytical skills
Good communication and organizational skills
Detail-oriented
Ability to handle confidential or sensitive information with discretion

Preferred

Ability to accurately key 5000 ksph or 30 wpm
Knowledgeable in word processing and spreadsheet applications

Benefits

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
Education Assistance
Service Recognition
National discounts to movies, theaters, zoos, theme parks and more

Company

BlueCross BlueShield of South Carolina

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For more than six decades, BlueCross BlueShield of South Carolina has been part of the national landscape. Our roots are firmly embedded in the state.

Funding

Current Stage
Late Stage

Leadership Team

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April Richardson
Vice President and Chief Operating Officer of Companion Benefit Alternative
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Alli McGary
Talent Acquisition Partner
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Company data provided by crunchbase