Lead Claims Clerk I
Lead Claims Clerk I
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Summary
Assists management in the planning coordination and assignment of work across staff. Trains new staff and assists staff with the proper processing methods. May screen code and key claims in claims system.
Description
Location:This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM-4:30PM. It may be necessary given the business need to work occasional overtime. This role is located at 1000 Executive Center Drive Greenville SC 29616.
What Youll Do:
Assembles and distributes electronic and hard copy claims to support staff. May screen code and key claims to ensure proper and accurate adjudication of claims in accordance with departmental standards for quality and production contract regulations policies and guidelines.
Processes edits and resolves errors through claims editing software.
Collects sorts and delivers completed claims to the appropriate area.
Documents errors and other important information throughout claims processing.
Assists support staff with questions throughout processing.
To Qualify for This Position Youll Need the Following:
Required Education:High School Diploma or equivalent
Required Work Experience:4 years of experience in a claims operations environment to include data entry experience.
Required Skills and Abilities:
Organizational judgment and customer service skills.
Ability to handle confidential or sensitive information with discretion.
Flexibility to perform multiple functions strong judgment and attention to detail.
Proficient spelling punctuation and grammar.
Required Software and Tools:Microsoft Office. Ability to type a minimum of 5000 KSPH and proficient with numeric keypad.
Our Comprehensive Benefits Package Includes the Following:
We offer our employees great benefits and rewards. You will be eligible to participate in the benefits for the first of the month following 28 days ofemployment.
Subsidized health plans dental and vision coverage
401k retirement savings plan with company match
Life Insurance
Paid Time Off (PTO)
On-site cafeterias and fitness centers in major locations
Education Assistance
Service Recognition
National discounts to movies theaters zoos theme parks and more
What We Can Do for You:
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 you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.
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 individuals with disabilitiesand protected 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 disabilities pregnant individuals individuals with pregnancy-related conditions and individuals needing accommodations for sincerely held religious beliefs provided that those accommodations do not impose an undue hardship on the Company.
If you need special assistance or an accommodation while seeking employment please email or call ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Heres moreinformation.
Some states have required notifications. Heres more information.
Employment Type
Full-Time
