Claims Technician

BlueCross and BlueShield of South Carolina; Florence (SC); On-site; USD 30,000 - 46,000; Full time

Benefits offered by this job

Health plans

401k with company match

Life Insurance

Paid Time Off (PTO)

On-site cafeterias and fitness centers

Education Assistance

Service Recognition

National discounts

Job summary

BlueCross BlueShield of South Carolina is seeking a detail-oriented administrative professional to perform routine clerical duties in a busy office environment in Florence, SC. The role includes mail handling, data verification, records management and ensuring timely processing of claims.

Requirements include a high school diploma and strong organizational skills; familiarity with word processing and spreadsheets is preferred.

Qualifications

• High School Diploma or equivalent.
• Strong organizational and analytical skills.
• Good communication and organizational skills.
• Detail-oriented.
• Ability to handle confidential information with discretion.
• Ability to type 5000 ksph or 30 wpm (preferred).
• Knowledgeable in word processing and spreadsheet applications.

Responsibilities

• Receives, opens, sorts and distributes incoming departmental mail or work requests.
• Screens and verifies information; ensures proper processing flow of paper claims and correspondence.
• Performs data element verification before claims adjudication and applies indexing as needed.
• Maintains departmental logs, spreadsheets or databases; uses reference materials in daily tasks.
• Keeps track of supply inventory and orders supplies as needed.

Skills

Strong organizational skills

Analytical skills

Communication skills

Detail-oriented

Discretion with confidential info

Education

High School Diploma or equivalent

Tools

Microsoft Word

Microsoft Excel

Job description

Summary

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.

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

Location

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 200 N Dozier Blvd, Florence, SC 29501.

Government Clearance

This position requires the ability to obtain a security clearance, which requires applicants to be a U.S. Citizen.

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.
• Good communication and organizational skills.
• Detail-oriented.
• 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.
• Knowledgeable in word processing and spreadsheet applications.

Our Comprehensive Benefits Package Includes the Following

We offer our employees great benefits and rewards. You will be eligible to participate in the benefits for the first of the month following 28 days of employment.

• 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 abiliti