Refund Analyst II
Refund Analyst II
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Job Description
Summary
Reviews moderately complex/specialty claims and processes refunds including settlement of monies.
Description
Logistics:
This is a full time 40 HPW) position. Our ideal candidate will be required to work onsite at our Columbia SC location.
What You Will Do:
Research claims history to identify and/or verify moderately complex claims to be adjusted for refunds.
Update claims systems to ensure that the refund process will be completed.
Adjust claims history to reflect refunded amounts.
Complete action requests for priority claims.
Respond accurately and timely to inquiries from internal and external customers.
Assists with reports that ensure claims are processing and refunds are settled according to guidelines and requirements.
Responds to internal quality audits.
To Qualify We Will Require:
Required Experience: 1 year of related claims experience PLUS 2 years of experience in the recouping and/or refunding of claims.
Required Skills and Abilities: Strong communication analytical and organizational and basic math skills.
Required Software and Other Tools: Proficient in Microsoft Office Products.
We Would Prefer You to Have:
Preferred Work Experience:1 year of prior experience working with FEP (Federal Employee Programs).
Required Education: High School Diploma or equivalent.
What We Can Do for You:
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.
Incentive Plan.
Merit Plan.
Continuing education funds for additional certifications and certification renewal.
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 those candidates who qualify 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. 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 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
