Claims Processor II

Claims Processor II

We are currently hiring for a Claims Processor II to join BlueCross BlueShield of South Carolina. In this role, you will be responsible for reviewing and adjudicating complex or specialty claims. You will determine whether to return, deny or pay claims following organizational policies and procedures. You will also assist in training or mentoring new staff members.

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 : Planned Administrators Inc. (PAI) one of BlueCross BlueShield's South Carolina subsidiary companies.

Location : This position is full-time (40-hours / week) Monday-Friday from 8 : 00am-4 : 30pm and will be fully remote. The candidate may be asked to come on-site for training, meetings, or other business needs. Candidates must reside within a one-hour commute of the Columbia location.

To qualify for this position, you'll need the following :

• High School Diploma or equivalent
• 2 years of experience processing, researching and adjudicating claims
• Strong organizational, analytical and judgment skills
• Strong oral and written communication skills
• Proficient in spelling, punctuation and grammar
• Proficient in basic business math
• Ability to handle confidential or sensitive information with discretion
• Microsoft Office

We prefer that you have the following :

Our comprehensive benefits package includes the following :

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.

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@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request.