Claims Technician

Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we have been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina and much more. We are one of the nation's 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 that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are committed to the same philosophy, consider joining our team!

Here is your opportunity to join a dynamic team at a diverse company with secure, community roots and an innovative future.

Logistics: **This position requires additional background clearance and you must be a US Citizen**

This position is onsite at 160 Dozier Boulevard, Florence, SC, 29501. The hours are 8:00 a.m. - 5:00 p.m. Monday - Friday. Start Date: 01.06.2025

What You'll Do:

• Receive, open, sort, and distribute incoming departmental mail or work requests.
• Check workflow documents to ensure required information is available.
• Request any missing documentation as needed.
• Scan all documents for storage in the electronic repository.
• Prepare correspondence or packages for internal / external mailing.
• Screen and verifies information.
• Ensure proper and accurate processing flow of all paper claims and correspondence in accordance with department standards for quality and production, contract regulations, policies, and guidelines.
• Conduct data element verification of data elements for those that fail the mapping process prior to claims adjudication.
• Apply appropriate indexes as needed to claims and / or correspondence.
• Maintain departmental logs, spreadsheets, or databases.
• Effectively use all available reference materials in performance of daily functions.
• Keep track of supply inventory and / or orders supplies as needed.

To Qualify for This Position, You'll Need:

• High School Diploma or Equivalent.
• Strong organizational and analytical skills.
• Good communication and organizational skills.
• Detail-oriented.
• Ability to handle confidential or sensitive information with discretion.

What We Prefer:

• Ability to accurately key 5000 ksph or 30 wpm.
• Knowledgeable in word processing and spreadsheet application

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.
• On-site 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 you submit 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.

Management will conduct interviews with the most qualified candidates, prioritizing those who demonstrate the preferred qualifications.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.

Some states have required notifications. Here's more information.

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 e-mail mycareer.help@bcbssc.com or call 1-800-288-2227, 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.