Claims Technician
Claims Technician
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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. 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
Logistics:
This position is full time 40 hours/week) MondayFriday in a typical office environment. Employees will work an 8hour shift between the hours of
7:30 AM 6:00 PM. This role is on site in Florence SC to 200 North Dozier Boulevard Florence SC 29501.
What Youll 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 Youll Need
High School Diploma or Equivalent
Strong organizational and analytical skills.
Good communication and organizational skills.
Detailoriented.
Ability to handle confidential or sensitive information with discretion.
We Prefer That You Have
Ability to accurately key 5000 ksph or 30 wpm. Knowledgeable in word processing and spreadsheet applications.
What We Can Do for You:
Our comprehensive benefits package includes:
401(k) retirement savings plan with company match
Subsidized health plans and free vision coverage
Life insurance
Paid annual leave the longer you work here the more you earn
Nine paid holidays
Onsite cafeterias and fitness centers in major locations
Wellness programs and healthy lifestyle premium discount
Tuition assistance
Service recognition
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 a recruiter to verify resume specifics and salary requirements. Management will be conducting interviews with the most qualified candidates with prioritization given to those candidates who demonstrate the preferred qualifications. We participate in EVerify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Some states have required notifications. Heres more information.
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 minorities females disabled individuals and 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 physical and mental disabilities.
If you need special assistance or an accommodation while seeking employment please email or callext. 47480 with the nature of your request. We will decide regarding your request for reasonable accommodation on a casebycase basis.
We participate in EVerify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.
Some states have required notifications. Heresmore information.
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 minorities females disabled individuals and 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 physical and mental disabilities.
If you need special assistance or an accommodation while seeking employment please email or callext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a casebycase basis.
Required Experience:
IC
Employment Type
Full-Time
