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profile Job Location:

San Francisco, CA - USA

profile Monthly Salary: Not Disclosed
Posted on: 23 hours ago
Vacancies: 1 Vacancy

Job Summary


Summary

Provides reinsurance support for new and renewal business underwriting claims audit/record keeping and/or other functions. May perform calculations and process general accounting requests for billing or payments and/or check the status of claims and process policy changes. Provides customer service to clients and partners. Runs reports as needed.


Description

Why Should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but weve been part of the national landscape for more than seven decades with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina.. and much more. We are on of the nations leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy consider joining our team!

Position Purpose:

Provides reinsurance support for new and renewal business underwriting claims audit/record other functions. May perform calculations and process general accounting requests for billing or payments and/or check the status of claims and process policy changes. Provides customer service clients and partners. Runs reports as needed.

What You Will Do:

  • Processes mail email and faxes to maintain departmental productivity quality and timeliness standards. May assist in preparing various financial data associated with refunds recoupments adjustments and reissues and ensure appropriate documentation for each refund request and associated payment. Maintains logs. Assists in processing/providing routine premium billing statements and/or various reports. Maintains filing systems.
  • Coordinates communication of information between reinsurance companies and various internal and external areas. Reviews documentation for completeness and may rate new business order required reports within timeliness standards determine benefits issue new policies and/or report surplus lines taxes. Requests additional information when needed within timeline standards. Accurately documents process changes.
  • Checks status of claims or notices and may service existing accounts by processing endorsements/amendments identifying problems and responding to inquiries. May review disbursement requests for large case management claims and other specific diagnosis codes and forward to claims for detailed review.
  • Ensures effective customer relations by responding accurately timely and courteously to telephone or written customer inquiries. Accurately documents inquiries.

To Qualify for This Position You Will Need:

  • Required Education: High School Diploma or equivalent.
  • Required Experience: 1 year customer service or administrative experience.
  • Required Skills and Abilities: Excellent verbal and written communication skills. Good human relations skills. Strong research ability. Ability to function in a high-pressure environment with minimum supervision. Ability to handle confidential or sensitive information with discretion. Strong organizational skills. Proven customer service skills. Good judgment. Proficient spelling punctuation grammar and basic math skills.
  • Required Software and Tools: Microsoft Office.

What We Prefer You Have:

  • Preferred Education:Associate Degree-Business Administration or related field.
  • Preferred Work Experience:2 years-customer service operations support or underwriting support.

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 a recruiter to verify resume specific 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.


Required Experience:

IC

SummaryProvides reinsurance support for new and renewal business underwriting claims audit/record keeping and/or other functions. May perform calculations and process general accounting requests for billing or payments and/or check the status of claims and process policy changes. Provides customer ...
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Key Skills

  • Access
  • CAD
  • Jira
  • Bid Management
  • Market Intelligence
  • Analytics

About Company

You can’t reach new heights of performance unless you’re willing to invest in others. That people-first mantra has been our guiding light since we started in the Medicare business in 1965. Headquartered in Columbia, S.C., and with offices in Augusta, Ga.; Birmingham, Ala.; Camden, S.C ... View more

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