Analyst, Senior Recovery

001 BlueCross and BlueShield of South Carolina; Columbia (SC); Hybrid; USD 28,000 - 50,000; Part time

Benefits offered by this job

Subsidized health plans

401k with company match

Life Insurance

Paid Time Off (PTO)

Employee discounts

Job summary

BlueCross BlueShield of South Carolina is seeking a part-time Claims Recovery Analyst to identify claims eligible for reinsurance and Second Injury Fund recoveries. The role includes reviewing medical reports, preparing required filings, and coordinating with claims staff to secure recoveries.

The position can be remote or hybrid, typically 20–30 hours per week, with a hybrid option based in Columbia, SC. Sponsorship is not available now or in the future.

Qualifications

• Bachelor's Degree Equivalency: 4 years job related work experience or Associate's and 2 years job related work experience.
• 4 years of area related adjusting experience.
• Strong verbal and written communication skills.
• Strong interpersonal skills.
• Valid adjuster's license in required states or ability to acquire within 6 months.
• Prior workers compensation experience preferred.

Responsibilities

• Identify claims eligible for Excess Policy (Reinsurance) recovery and SIF reimbursement; gather supporting documentation.
• Review and analyze identified claims, medical reports, and claims financial data.
• Complete mandated reporting forms and ensure completeness of reporting.
• Prepare claims for presentation to clients, excess carriers and SIF as needed.
• Coordinate with Claims Adjusters to identify all recoverable claims for reinsurance and SIF.
• Document activities, case action plans, recovery outcomes and maintain an active diary on the claims.
• Assist and provide training and guidance to claims staff as needed.
• Support management with special projects or other duties as required.

Skills

Verbal communication

Written communication

Interpersonal skills

Microsoft Office

Education

Bachelor's Degree Equivalency / Associate's with experience

Job description

Summary

Identifies qualified claims and pursues reinsurance and/or second injury fund recoveries. Completes all required reporting.

Description Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, 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, allowing us to build on various business strengths. We deliver outstanding service to our customers.

Position Purpose

Identifies qualified claims and pursues reinsurance and/or second injury fund recoveries. Completes all required reporting.

Logistics

Planned Administrators Inc. (PAI) – one of BlueCross BlueShield of South Carolina’s subsidiary companies. Location: This is a part‑time position (20‑30 hours per week), typically working 3–4 days per week in either a fully remote or hybrid environment. For hybrid employees, the position is based at 17 Technology Circle, Columbia, SC 29203. Sponsorship: This position is not eligible for sponsorship now or in the future.

What You’ll Do

• Identifies claims applicable for Excess Policy (Reinsurance) and SC Second Injury Fund (SIF) reimbursement and secures supporting documentation for submission.
• Reviews and analyses identified claims, associated medical reports and claims financial data.
• Is familiar with all reporting requirements and completes all mandated reporting forms.
• Prepares the claims for presentation as needed to clients, excess carriers and SIF.
• Using advanced subject matter expertise; coordinates with Claims Adjusters to identify all claims with potential recovery from reinsurance and SIF.
• Documents activities, case action plans, recovery outcomes and maintains an active diary on the claims.
• Assists and provides training and guidance to the claims staff on an as needed basis.
• Assists management with special projects or other duties as required.

To Qualify for This Position

You’ll Need the Following:

• Required Education: Bachelor's Degree Equivalency: 4 years job related work experience or Associate's and 2 years job related work experience.
• Required Work Experience: 4 years of area related adjusting experience.
• Required Skills and Abilities: Strong verbal and written communication skills. Strong interpersonal skills.
• Required Software and Tools: Microsoft Office.
• Required Licenses and Certificates: Valid adjuster's license in required states or ability to acquire within 6 months-if required by resident state's department of insurance.
• We Prefer That You Have the Following: Prior workers compensation experience.

Our Comprehensive Benefits Package Includes the Following

• 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

What We Can Do for You

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

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 individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment procedure 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 disabilities, pregnant individuals, individuals with pregnancy‑related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email [e-mail] or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case‑by‑case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here’s more information. Some states have required notifications. Here’s more information.

Veterans Welcome!

BlueCross is a strong supporter of our veterans, and many service men and women have joined our ranks. We’ve found the dedication, work ethic and job skills that serve well in the military excel in many of our lines of business, and we proudly have veterans filling positions in Human Resources, Information Technology, Customer Service, Operations, General Services and more. Through our government contracts, we also have employees serving at Shaw Air Force Base, the Naval Health Clinic in Charleston, the Naval Hospital in Beaufort and in our hometown of Columbia, S.C., at Ft. Jackson. If you are a full‑time employee in the National Guard or Reserves, we will even cover the difference in your pay if you are called to active duty.