BlueCross and BlueShield of South Carolina

SummaryWe are currently hiring for a Stop Loss Registered Nurse to join Pace Underwriters a subsidiary of BlueCross BlueShield of South this role as a Stop Loss Registered Nurse you will evaluate and manage catastrophic episodes of illness for underwriting and claims. Ensures that t

SummaryWe are currently hiring for a Stop Loss Registered Nurse to join Pace Underwriters a subsidiary of BlueCross BlueShield of South this role as a Stop Loss Registered Nurse you will evaluate and manage catastrophic episodes of illness for underwriting and claims. Ensures that t

SummaryWe are currently hiring for a Stop Loss Registered Nurse to join BlueCross BlueShield of South this role as a Stop Loss Registered Nurse you will evaluate and manage catastrophic episodes of illness for underwriting and claims. Ensures that the insured is receiving the best m

SummaryWe are currently hiring for a Stop Loss Registered Nurse to join BlueCross BlueShield of South this role as a Stop Loss Registered Nurse you will evaluate and manage catastrophic episodes of illness for underwriting and claims. Ensures that the insured is receiving the best m

SummaryWe are currently hiring for a Stop Loss Registered Nurse to join BlueCross BlueShield of South this role as a Stop Loss Registered Nurse you will evaluate and manage catastrophic episodes of illness for underwriting and claims. Ensures that the insured is receiving the best m

SummaryWe are currently hiring for a Stop Loss Registered Nurse to join BlueCross BlueShield of South this role as a Stop Loss Registered Nurse you will evaluate and manage catastrophic episodes of illness for underwriting and claims. Ensures that the insured is receiving the best m

SummaryWe have a job opening for the position Underwriting Summer Student Intern at Companion a subsidiary BlueCross BlueShield of South Carolina. The Intern position is utilized for training an active college student towards a professional-level role. The responsibilities vary and a

SummaryWe have a job opening for the position Underwriting Summer Student Intern at Companion a subsidiary BlueCross BlueShield of South Carolina. The Intern position is utilized for training an active college student towards a professional-level role. The responsibilities vary and a

SummaryHandles day-to-day regulatory compliance issues. Researches resolves and tracks suspected compliance issues. Provides guidance to management and employees on compliance issues. Negotiates privacy agreements and performs various internal audits. Provides information on the compl

SummaryHandles day-to-day regulatory compliance issues. Researches resolves and tracks suspected compliance issues. Provides guidance to management and employees on compliance issues. Negotiates privacy agreements and performs various internal audits. Provides information on the compl

SummaryResponsible for planning development direction and management of all activities related to product development for assigned divisions business. Determines the demand for new or enhanced products and services through market research and analysis. Responsible for the development

SummaryResponsible for planning development direction and management of all activities related to product development for assigned divisions business. Determines the demand for new or enhanced products and services through market research and analysis. Responsible for the development

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

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

SummaryResponsible for submitting stop loss claim packets and responding to any requests for additional information. Additionally the claims must be tracked and monitored. Complex analysis is performed and queries are generated to file and validate the claim submissions.DescriptionLog

SummaryResponsible for submitting stop loss claim packets and responding to any requests for additional information. Additionally the claims must be tracked and monitored. Complex analysis is performed and queries are generated to file and validate the claim submissions.DescriptionLog

SummaryAssists with planning internal and external special events and coordinates corporate projects for the company. Analyzes requests for corporate funding and generates related reports and correspondence. Develops and maintains effective relationships with community entities while

SummaryAssists with planning internal and external special events and coordinates corporate projects for the company. Analyzes requests for corporate funding and generates related reports and correspondence. Develops and maintains effective relationships with community entities while

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

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

SummaryDescriptionWhy 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

SummaryDescriptionWhy 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

SummaryUnder general supervision performs a variety of routine to moderately complex clerical/billing functions such as manual claims billing adjustments accounts receivable transactions reconciliations generating correspondence to internal and external customers processing weekly cla

SummaryUnder general supervision performs a variety of routine to moderately complex clerical/billing functions such as manual claims billing adjustments accounts receivable transactions reconciliations generating correspondence to internal and external customers processing weekly cla

SummaryCoordinates with relevant areas to ensure customers (agents group administrators members etc.) receive outstanding customer service and to ultimately retain customer base. Addresses issues as they are identified. Resolves and communicates results concerns and/or problems to m

SummaryCoordinates with relevant areas to ensure customers (agents group administrators members etc.) receive outstanding customer service and to ultimately retain customer base. Addresses issues as they are identified. Resolves and communicates results concerns and/or problems to m

SummaryAs a Principal Consultant with Corporate Planning and Strategic Services (CPSS) you will have the skills and experience to lead large complex initiatives that span multiple business areas from conception to execution. You will partner with business areas across the organization

SummaryAs a Principal Consultant with Corporate Planning and Strategic Services (CPSS) you will have the skills and experience to lead large complex initiatives that span multiple business areas from conception to execution. You will partner with business areas across the organization

SummaryResponsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions.DescriptionLogistics: PGBA is a subsidiary company of BlueCross Blue

SummaryResponsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions.DescriptionLogistics: PGBA is a subsidiary company of BlueCross Blue

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

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

SummaryWe are currently hiring a Training and Quality Assurance Coordinator to join BlueCross BlueShield of South this role as a Training and Quality Assurance Coordinator you will coordinate the quality control program for the medical review area research the Center for Medicare and

SummaryWe are currently hiring a Training and Quality Assurance Coordinator to join BlueCross BlueShield of South this role as a Training and Quality Assurance Coordinator you will coordinate the quality control program for the medical review area research the Center for Medicare and

SummaryAssists the Retail Manager by driving sales mentoring staff and executing marketing initiatives. Supports educational initiatives by attending community events and providing expertise on products or services. Engages in outside and retail sales with sales teams to boost perform

SummaryAssists the Retail Manager by driving sales mentoring staff and executing marketing initiatives. Supports educational initiatives by attending community events and providing expertise on products or services. Engages in outside and retail sales with sales teams to boost perform

SummaryResponsible for providing consultative sales and service to customers seeking health and ancillary insurance products and information. Accepts payments from customers assists with wellness education and conducts Personal Health Assessments (PHAs). Regularly engaged in outside s

SummaryResponsible for providing consultative sales and service to customers seeking health and ancillary insurance products and information. Accepts payments from customers assists with wellness education and conducts Personal Health Assessments (PHAs). Regularly engaged in outside s

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

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