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BlueCross BlueShield of South Carolina · 14 hours ago

Claims Coordinator

United States

Full-time

Remote

Entry Level

1+ years exp

BlueCross BlueShield of South Carolina is seeking a Claims Coordinator to provide intake support for the claims department. The role involves coordinating communications, reviewing claim submissions for accuracy, and providing customer service to clients and partners.

Financial ServicesHealth CareHealth InsuranceInsuranceMedical

Responsibilities

Processes mail, email and faxes to maintain departmental productivity, quality and timeliness standards. May assist in preparing various financial data associated with refunds, recoupments, adjustments, and reissues, and ensure appropriate documentation for each refund request and associated payment. Maintains logs. Assists in processing/providing routine premium billing statements and/or various reports. Maintains filing systems

Coordinates communication of information between reinsurance companies and various internal and external areas. Reviews documentation for completeness, and may rate new business, order required reports within timeliness standards, determine benefits, issue new policies, and/or report surplus lines taxes. Requests additional information when needed within timeline standards. Accurately documents process changes

Checks status of claims or notices, and may service existing accounts by processing endorsements/amendments, identifying problems, and responding to inquiries. May review disbursement requests for large case management claims and other specific diagnosis codes, and forward to claims for detailed review

Ensures effective customer relations by responding accurately, timely, and courteously to telephone or written customer inquiries. Accurately documents inquiries

Qualification

Claims processingCustomer serviceMicrosoft OfficeResearch abilityHuman relations skillsJudgmentVerbal communicationWritten communicationOrganizational skills

Required

High School Diploma or equivalent

1 year customer service or administrative experience

Excellent verbal and written communication skills

Good human relations skills

Strong research ability

Ability to function in a high-pressure environment with minimum supervision

Ability to handle confidential or sensitive information with discretion

Strong organizational skills

Proven customer service skills

Good judgment

Proficient spelling, punctuation, grammar, and basic math skills

Microsoft Office

Preferred

Associate degree-Business Administration or related field

2 years-customer service, operations support, or underwriting experience

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

Wellness program and healthy lifestyle premium discount

Tuition assistance

Service recognition

Employee Assistance

Discounts to movies, theaters, zoos, theme parks and more

Company

BlueCross BlueShield of South Carolina

Glassdoor3.6

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.

Founded in 1946

Columbia, South Carolina, USA

10001+ employees