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 9:00AM-5:00PM. This role is located at 4101 Percival Road Columbia SC 29229. Travel required as necessary.

What Youll Do:

Manage staff responsible for providing excellent customer service and timely and accurate processing of claims or appeals. Ensures department standards for production timeliness and quality are met.
Prepares and reviews management reports. Monitors monthly reports to ensure department standards for production timeliness and quality are met. Makes recommendations for process improvements.

Maintain effective relationships with internal and external customers by assisting with inquiries and resolving issues.

To Qualify Youll Need:

• 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 Experience: 3 years of insurance experience in claims or appeals processing and customer service. 1 year of supervisory/team lead experience OR 1 year of equivalent military experience in grade E4 of above.

• Required Skills and Abilities: Strong oral and written communication and organizational skills. Excellent customer service skills. Good judgment. Ability to persuade negotiate or influence. Proficient spelling punctuation and grammar.

• Required Skills and Abilities: Strong oral and written communication and organizational skills. Excellent customer service skills. Good judgment. Ability to persuade negotiate or influence. Proficient spelling punctuation and grammar.

• Required Software and Tools: Microsoft Office.

We Prefer You Have:

• Preferred Education: Bachelors degree

• Preferred Work Experience: 5 years-of insurance experience in claims processing and customer service. 2 years-of supervisory/team lead experience OR 2 years of equivalent military experience in grade E4 or above (may be concurrent). Claims processing within the last 3-5 years.

• Preferred Skills and Abilities: Demonstrated project management and presentation skills. Basic business math skills. Extensive knowledge of insurance law.

• Preferred Software and Other Tools: Knowledge of medical management and membership systems.

• Preferred Licenses and Certificates: Fellow of the Life Management Institute or equivalent.

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)

• 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.