Claims Clerk I

001 BlueCross and BlueShield of South Carolina; Columbia (SC); On-site; USD 32,000 - 52,000; Full time

Benefits offered by this job

Health plan subsidies

401k with company match

Life Insurance

PTO

Job summary

BlueCross BlueShield of South Carolina is seeking a detail-oriented Claims Processor to screen, code and key claims in our claims system. You will help ensure timely and accurate adjudication of claims in line with department standards and regulatory requirements.

The role is full-time on-site at 4101 Percival Rd, Columbia, SC 29229. You’ll use standard office tools, maintain confidentiality, and contribute to a positive customer service culture with strong verbal and written communication

Qualifications

• High School Diploma or equivalent required.
• Strong organizational and analytical skills.
• Strong verbal and written communication skills.
• Ability to handle confidential information with discretion.
• Standard office equipment knowledge.

Responsibilities

• Screen, code and key claims to ensure proper adjudication.
• Correct keying errors as noted by system edits.
• Use medical review forms and reference materials.

Skills

Organizational skills

Analytical skills

Verbal communication

Written communication

Discretion with confidential info

Education

High School Diploma or equivalent

Tools

Office equipment

Job description

Summary

Screen, code and key claims in claims system. Ensure claims are processed in a timely manner.

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. If you are dedicated to the same philosophy, consider joining our team!

Position Purpose

Screen, code and key claims in claims system. Ensure claims are processed in a timely manner.

Location

This position is full-time (40 hours/week) Monday-Friday from 8:00AM-5:00PM. This role is located on-site at 4101 Percival Rd., Columbia, SC 29229.

Sponsorship

This position is not eligible for sponsorship now or in the future.

What You’ll Do

Screen, code and key claims to ensure proper and accurate adjudication of claims in accordance with departmental standards for quality and production, contract regulations, policies and guidelines. Correct keying errors as noted by system edits. Accurately use medical review forms and all available reference materials.

To Qualify for This Position, You'll Need the Following:

• Required Education: High School Diploma or equivalent.
• Required Skills and Abilities: Strong organizational and analytical skills.
• Strong verbal and written communication skills.
• Ability to handle confidential or sensitive information with discretion.
• Required Software and Tools: Standard office equipment.

We Prefer That You Have the Following:

• Ability to accurately key 5000 ksph or 30 wpm Intermediate in word processing, spreadsheet application, and database software.

Comprehensive Benefits Package

• 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 process 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.

Join Us

Join Us If you're ready to join in a diverse company with secure, community roots and an innovative future,