Claims Customer Service Director
Claims Customer Service Director
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Job Description
Summary
Provides direction and guidance to customer service claims processing and/or appeals staff for multiple operational areas.
Description
Logistics: PGBA One of BlueCross BlueShields South Carolina subsidiary companies.
Location:This is a fulltime position working 40hours/week) MondayFriday in a typical office environment. You will work an 8hour shift scheduled during our normal business hours of 8:00am 5:00pm. It may be necessary given the business need to work overtime. You may be required to travel between buildings. This role is located at 17 Technology Circle Columbia SC 29203.
Government Clearance: This position requires the ability to obtain a security clearance which requires applicants to be a U.S. Citizen.
What You Will Do:
Directs customer service claims processing and/or appeals staff in ensuring prompt and accurate processing of items and inquiries. Develops and supports strategic initiatives to enhance provider and customer satisfaction.
Works closely with areas to track performance and develop measures of success. Implements process improvements.
Identifies system limitations and serves as project leader on system enhancements and updates.
Leads and supports achievement of departmental divisional and corporate strategic objectives. Collaborates with other functional areas to resolve multifunctional issues. Provides necessary assistance and resources when necessary.
Develops and monitors budget and resources for all assigned areas. Responsible for the selection training and development of staff. Ensures excellent customer service is given to employees customers management etc.
To Qualify for This Position You Will Need The Following:
Required Education: Bachelors
Degree Equivalency: 4 years job related work experience or Associates and 2 years job related work experience (Equivalency not applicable for the Celerian Group. Bachelors degree required.
Required Work Experience: 7 years of healthcare program or customer service experience to include budget management experience including 3 years of management/supervisory experience OR 3 years of equivalent military experience in grade E4 or above (may be concurrent).
Required Skills and Abilities: Strong organizational analytical presentation and customer service skills.
Strong oral and written communication skills.
Ability to persuade negotiate or influence.
Ability to handle confidential or sensitive information with discretion.
Proficient spelling punctuation grammar and basic business math.
Required Software and Tools: Microsoft Office.
We Prefer That You Have The Following:
TRICARE Claims and Customer Service
Superior Prime Contractor Communications and Relations
Government Programs experience
Experience with Transitions or Contract Start ups
Proposal writing
Our comprehensive Benefits Package Includes The Following:
We offer our employees great benefits and rewards. You will be eligible to participate in the benefits 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)
Onsite cafeterias and fitness centers in major locations
Wellness program and healthy lifestyle premium discount
Tuition assistance
Service recognition
Employee Assistance
Discounts to movies theaters zoos theme parks and more
What We Can Do For You: (Standard unless otherwise directed)
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 abilities to the growth of our company.
What to Expect Next:
After submitting your application our recruiting team members will review your resume to ensure your meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. If the qualifications required proof of semester hours please attach your transcript to your application.
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:
Director
Employment Type
Full-Time
