Claims Technician

001 BlueCross and BlueShield of South Carolina; Florence (SC); On-site; USD 32,000 - 42,000; Full time

Benefits offered by this job

Subsidized health plans

Dental and vision coverage

401k retirement savings with company/

Life Insurance

PTO

Education Assistance

Employee discounts

Job summary

BlueCross BlueShield of South Carolina is seeking a Claims Technician to perform a variety of routine clerical tasks and data verification to support timely claims processing. This on-site role requires attention to detail and discretion handling sensitive information.

The position is full-time, Monday–Friday, 8:00am–5:00pm, located at 2141 West Gate Place, Florence, SC 29501, offering comprehensive benefits and opportunities within the company.

Qualifications

• Required Education: High School Diploma or equivalent.
• Strong organizational and analytical skills.
• Good communication and organizational abilities.
• Detail-oriented with discretion handling confidential information.

Responsibilities

• Receives, sorts and distributes incoming mail or work requests.
• Checks workflow documents to ensure information is available.
• Requests missing documentation as needed.
• Scans documents for storage in the electronic repository.
• Prepares correspondence or packages for mailing.
• Screens and verifies information.
• Ensures proper processing flow of paper claims and correspondence.
• Conducts data element verification prior to claims adjudication.
• Applies indexes to claims and correspondence.
• Maintains departmental logs, spreadsheets or databases.
• Keeps track of supply inventory and orders supplies as needed.

Skills

Strong organizational skills

Analytical skills

Good communication

Detail-oriented

Discretion with confidential info

Education

High School Diploma or equivalent

Tools

Word processing

Spreadsheet applications

Job description

Summary

We are hiring a Claims Technician! In this role, you will perform routine but varied clerical duties in accordance with standard procedures. This includes clerical duties such as photocopying, compiling records, filing, tabulating, posting information, distributing mail, screening, scanning, data element verification and document indexing. You will apply knowledge of department policies and procedures and utilizes a general understanding of other departments' functions. You will maintain records, prepares forms, verifies information, and resolves routine problems. In addition, you will ensure claims are processed in a timely manner.

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

Position Purpose

Performs routine but varied clerical duties in accordance with standard procedures. This includes clerical duties such as photocopying, compiling records, filing, tabulating, posting information, distributing mail, screening, scanning, data element verification and document indexing. Applies knowledge of department policies and procedures and utilizes a general understanding of other departments' functions. Maintains records, prepares forms, verifies information and resolves routine problems. Ensures claims are processed in a timely manner.

Logistics

PGBA – one of BlueCross BlueShield's South Carolina subsidiary companies

This position is full-time (40-hours/week) Monday-Friday from 8:00am-5:00pm in a typical office environment. This role is located on-site at 2141 West Gate Place, Florence, SC 29501.

SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). Under the McNamara-O'Hara Service Contract Act (SCA), employees cannot opt out of health benefits. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date.

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

What You’ll Do

• Receives, opens, sorts and distributes incoming departmental mail or work requests.
• Checks workflow documents to ensure required information is available.
• Requests any missing documentation as needed.
• Scans all documents for storage in the electronic repository.
• Prepares correspondence or packages for internal/external mailing.
• Screens and verifies information.
• Ensures proper and accurate processing flow of all paper claims and correspondence in accordance with department standards for quality and production, contract regulations, policies and guidelines.
• Conducts data element verification of data elements for those that fail the mapping process prior to claims adjudication.
• Applies appropriate indexes as needed to claims and/or correspondence.
• Maintains departmental logs, spreadsheets or databases.
• Effectively uses all available reference materials in performance of daily functions.
• Keeps track of supply inventory and/or orders supplies as needed.

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.
• Required Skills and Abilities: Good communication and organizational skills.
• Required Skills and Abilities: Detail-oriented.
• Required Skills and Abilities: Ability to handle confidential or sensitive information with discretion.

We Prefer That You Have the Following

• Preferred Skills and Abilities: Ability to accurately key 5000 ksph or 30 wpm.
• Preferred Skills and Abilities: Knowledgeable in word processing and spreadsheet applications.

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.

What To Expect Next

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.

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.