[Hiring] Claims Coordinator @BlueCross BlueShield of South Carolina

Role Description

This role provides intake support for the claims department, coordinating communications and ensuring timely review, assignment, or response to emails. Responsibilities include:

• Reviewing claim submissions for accuracy and loading them into the claims system
• Checking the status of claims
• Providing customer service to clients and partners
• Processing mail, email, and faxes to maintain departmental productivity, quality, and timeliness standards
• Assisting in preparing financial data associated with refunds, recoupments, adjustments, and reissues
• Maintaining logs and filing systems
• Coordinating communication between reinsurance companies and various internal and external areas
• Reviewing documentation for completeness and determining benefits
• Requesting additional information when needed
• Documenting process changes accurately
• Ensuring effective customer relations by responding accurately and courteously to inquiries

Qualifications

• High School Diploma or equivalent
• 1 year customer service or administrative experience
• 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

Requirements

• Proficiency in Microsoft Office

Benefits

• 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
• Wellness program and healthy lifestyle premium discount
• Tuition assistance
• Service recognition
• Employee Assistance
• Discounts to movies, theaters, zoos, theme parks, and more