Claims Processor I — Onsite in Myrtle Beach + Benefits

Southcarolinablues; Myrtle Beach, Northern (SC, KY); Hybrid; USD 36,000 - 48,000; Full time

Benefits offered by this job

Subsidized health plans

401k with company match

Life Insurance

Paid Time Off (PTO)

Job summary

BlueCross BlueShield of South Carolina is seeking a diligent Claims Processor to ensure accurate and timely processing of medical claims in a structured office environment. The role focuses on coding accuracy, research-based error resolution, and collaboration with internal teams to update patient and provider information.

The position emphasizes strong analytical abilities, precise communication, and reliability, with standard full-time hours and on-site work in Myrtle Beach, SC.

Qualifications

• High School diploma or equivalent is required.
• Strong analytical, organizational and customer service skills are essential.
• Excellent written and verbal communication, spelling and grammar are required.
• Good judgment and basic math skills are expected.
• Experience with basic office software is preferred.

Responsibilities

• Researches and processes claims according to regulations, standards, and guidelines.
• Verifies procedure and diagnosis code accuracy.
• Resolves system edits and claim errors through research and approved references.
• Coordinates with internal departments to manage edits, deferrals, and file updates.

Skills

Analytical skills

Organizational skills

Customer service

Oral and written communication

Spelling, punctuation, grammar

Judgment

Basic business math

Education

High School Diploma or equivalent

Tools

Word processing

Spreadsheets

Databases

Job description

BlueCross BlueShield of South Carolina is seeking a diligent Claims Processor to ensure accurate and timely processing of medical claims in a structured office environment. The role focuses on coding accuracy, research-based error resolution, and collaboration with internal teams to update patient and provider information.

The position emphasizes strong analytical abilities, precise communication, and reliability, with standard full-time hours and on-site work in Myrtle Beach, SC.