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Claims Technician

BlueCross BlueShield of South Carolina
life insurance, paid time off, 401(k)
United States, South Carolina, Florence
May 20, 2025
Summary Performs routine but varied clerical duties in accordance with standard procedures. This includes clerical duties such as photocopying, compiling records, filing, tabulating, posting information, distributing mail, screening, scanning, data element verification and document indexing. Applies knowledge of department policies and procedures and utilizes a general understanding of other departments' functions. Maintains records, prepares forms, verifies information and resolves routine problems. Ensures claims are processed in a timely manner. Description

Logistics:

  • This is a full-time (4-0 HPW) position. Our ideal candidate will work on-site at our Florence, SC location.

What You'll Do:

  • Screens and verifies information.
  • Ensures 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.
  • Conducts data element verification of data elements for those that fail the mapping process prior to claims adjudication.
  • Applies appropriate indexes as needed to claims and/or correspondence.
  • Maintains departmental logs, spreadsheets or databases. Effectively uses all available reference materials in performance of daily functions.
  • Keeps track of supply inventory and/or orders supplies as needed.

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

  • Required Education: High School Diploma or equivalent.
  • Minimum Work Experience: No previous work experience required.
  • Minimum Skills and Abilities: Strong organizational and analytical skills. Good communication and organizational skills. Detail-oriented. Ability to handle confidential or sensitive information with discretion.
  • 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.

We Prefer That You Have the Following:

  • Preferred Work Experience: 1 year of experience in a healthcare or insurance environment.
  • Preferred Skills and Abilities: Ability to use complex mathematical calculations.
  • Preferred Software and Other Tools: Proficient in word processing and spreadsheet applications. Proficient in database software.

Our comprehensive benefits package includes the following:

  • We offer our employees great benefits and rewards.
  • You will be eligible to participate in the benefits on 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 an opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

What to Except 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 specifics and salary requirements.

Management will be conducting interviews with those candidates who qualify, with prioritization given to those candidates 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'smore information.

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 disabilities and 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 mycareer.help@bcbsasc.comor call 800-288-2277, ext.47480 with the nature of your request. We will make a decision 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.

Some states have required notifications. Here'smore information.

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 mycareer.help@bcbssc.comor call 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.

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

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

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