BlueCross BlueShield of South Carolina · 5 hours ago
Claims Customer Service Supervisor Private Business
BlueCross BlueShield of South Carolina is seeking a Claims Customer Service Supervisor to oversee claims, appeals, and customer service operations. The role involves leading staff, ensuring prompt claim settlements, and maintaining excellent customer relations while also managing recruitment and staff development.
Financial ServicesHealth CareHealth InsuranceInsuranceMedical
Responsibilities
Lead the claims and customer service staff to ensure prompt and accurate settlement of claims, appeals, and/or customer service inquiries. Coordinates with other areas while establishing and maintaining excellent customer relations
Analyze problems and concerns to make effective decisions that provide positive solutions. Make recommendations for process improvements and efficiencies for the department
Manage the recruiting, hiring, coaching, and mentoring, monitoring and evaluation, and addressing all disciplinary issues in a timely manner
Encourage staff in creating and maintaining a work environment with high morale and employee satisfaction through support of professional development, training, career growth, and rewarding high performance
Serve as a liaison for internal and external customers. Ensures the timely and accurate resolution of any issues and/or provides necessary training to staff as needed or requested
Qualification
Required
Bachelor's degree OR 4-years of healthcare experience in customer service, provider network service, membership, billing, and/or claims/appeals processing operations
2-years of claims/appeals, customer service, or call center experience
Strong analytical, organizational, and judgment skills
Excellent customer service skills
Ability to persuade, negotiate or influence
Strong oral and written communication skills
Strong spelling, punctuation, and grammar skills
Demonstrated leadership ability
Microsoft office proficient
Preferred
Bachelor's degree
4 years-of healthcare, customer service, or claims experience
Previous budget experience
1 year-of leadership experience including scheduling or coordinating work of others, developing work procedures and training for others, and/or leading group project initiatives
Strong presentation skills
Basic business math skills
Ability to interact easily with customers, staff, and other members of the organization
Knowledge of the benefit plans for each group
Knowledge of all systems and their roles in claims adjudication
Strong leadership skills to direct and motivate employees
Knowledge of performance standards and quality assurance guidelines
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
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 StageLeadership Team
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