Job Description

Company Overview

BlueCross BlueShield of South Carolina is a leading health insurance provider committed to offering security and comprehensive healthcare coverage to residents of South Carolina. With over 70 years of experience, we pride ourselves on financial stability, extensive provider networks, and a wide range of health plans tailored to meet diverse needs.

Summary

'Claims Processor I' is a vital role at BlueCross BlueShield of South Carolina, responsible for processing insurance claims efficiently and accurately. This position is based in South Carolina and plays a key part in ensuring our members receive timely and precise claim settlements, supporting our mission to deliver exceptional healthcare services.

Responsibilities

Review and process incoming insurance claims with attention to detail. Verify claim information against policy details and medical documentation. Ensure compliance with healthcare regulations such as ICD-10, CPT coding, and Medicare guidelines. Collaborate with medical providers and internal teams to resolve claim discrepancies. Maintain accurate records of processed claims using financial software. Support the organization by filing documents and managing medical records. Assist in audits and quality assurance processes related to claims processing. Stay updated on changes in insurance laws and coding standards.

Qualify for This Position, You'll Need the Following:

Required Education:

High School Diploma or equivalent

Required Skills and Abilities:

Strong analytical, organizational and customer service skills. Strong oral and written communication skills. Proficient spelling, punctuation and grammar skills. Good judgment skills. Basic business math skills

.

Required Software and Tools:

Basic office equipment.

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 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.

Pay: $16.00 - $18.00 per hour

Expected hours: 40.0 per week

Benefits:

401(k) Employee assistance program Employee discount Health insurance Health savings account Life insurance On-site gym Paid time off Retirement plan Tuition reimbursement Vision insurance
Work Location: In person