[Hiring] Claims Coordinator @BlueCross BlueShield of South Carolina
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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
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