BlueCross and BlueShield of South Carolina

SummaryWe are currently hiring for a Claims Processor I to join BlueCross BlueShield of South Carolina. In this role as a Claims Processor I you will be responsible for the accurate and timely processing of claims.Why should you join the BlueCross BlueShield of South Carolina family o المزيد...

SummaryWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but weve 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 c المزيد...

SummaryCoordinates and performs testing for major system enhancements including reviewing documents for testing creating test matrices and executing test cases. Functions as a liaison between the operations areas and Information systems by researching technical production issues for المزيد...

SummaryDevelops and delivers sales service and product training to sales and service representatives in all sales channels and independent sales agents. Assists representatives in effectively acquiring and retaining business from small groups and individual customers.DescriptionLocat المزيد...

SummaryEngages leaders at the individual level to assess and improve leadership presence and skill. Serves as the subject matter expert on relevant leadership assessment tools and mentoring leaders throughout the assessment process to ensure learned behaviors are applied on the job. S المزيد...

SummaryResponsible for the accurate and timely processing of claims.DescriptionWhat Youll Do:Researches and processes claims according to business regulation internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes.Resolves system edits audits المزيد...

SummaryPerforms quality control audits to evaluate accuracy and effectiveness of departmental operations functions including but not limited to claims membership customer service/call center workflow processing support systems procedures documentation etc. Identifies problems analyze المزيد...

SummaryPerforms varied clerical duties in accordance with standard procedures. This includes clerical duties such as photocopying compiling records filing tabulating posting information and distributing mail. Applies knowledge of department policies and procedures and utilizes a gener المزيد...

SummaryResponsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Reviews and adjudicates claims and/or nonmedical appeals. Determines whether to return deny or pay claims following organization المزيد...

SummaryResponsible for identifying training needs developing training materials and facilitating training. Provides training guidance and leadership for new training specialists. Develops performance assessments and testing materials. Manages trainees and communicates effectively with المزيد...

SummaryResponsible for responding to customer inquiries. Inquiries may be nonroutine and require deviation from standard screens scripts and procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or nonmedical appeals. Determines whether t المزيد...

SummaryWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but for more than seven decades weve been part of the national landscape with our roots firmly embedded in the South Carolina community. We are the largest insurance c المزيد...

SummaryDescriptionWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but weve 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 المزيد...

SummaryDirects and coordinates all components for the development of new business to include working across various functional areas (underwriting marketing claims information systems operations etc.. Evaluates marketing strategies/plans to meet ever changing market and competitive c المزيد...

SummaryResponsible for the supervision of the duties of payroll staff payroll procedural changes verification accuracy and timeliness of payroll data and problem resolution in assigned area.DescriptionLocation:This is a fulltime position working 40hours/week) MondayFriday working onsi المزيد...

SummaryScreen code and key claims in claims system. Review claims for services.DescriptionLogistics:This is a fulltime position 40 HPW) and will require our ideal candidate work onsite at the location in Columbia SC.What You Will Do:Screen code and key claims to ensure proper and acc المزيد...

SummaryWe are currently hiring for a PartTime Claims Customer Service Advocate II to join BlueCross BlueShield of South Carolina. In this role as a Claims Customer Service Advocate II you will be responsible for helping our customers in a timely prompt and accurate way to answer some المزيد...

SummarySupervises the operations of Subrogation and Workers Compensation department to recover money for the corporation.DescriptionLogistics:This is a fulltime 40 HOPW) position. The ideal candidate will be required to work onsite at our Columbia SC location.What You Will Do:Perform المزيد...

SummaryScreen code and key claims in claims system. Ensure claims are processed in a timely manner.DescriptionLogistics:This is a fulltime position 40 HOPW). The ideal candidate will be required to work on site in our Columbia SC location.What You Will Do:Screen code and key claims t المزيد...

SummaryResponsible for coordinating and directing the efforts of the Document Control associates to ensure the timely and accurate processing and general control of documents. Distributes work and determines work priorities for the staff. Performs quality audits and helps evaluate the المزيد...