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Supervisor, Claims Customer Service - Private Business

BlueCross BlueShield of South Carolina
United Statesfull_timeVerifiedPosted 26 Jun 2024

About the role


Summary
 

We are hiring a for a Supervisor, Claims Customer Service. In this role you will oversee an area responsible for Claims, Appeals, and/or Customer Service to ensure departmental performance guarantees are met.
The successful candidate for this position will be someone who pays strong attention to detail and is comfortable working in a high volume, fast-paced environment.


Description
 

Logistics

This position is full time (40 hours/week) Monday-Friday on site at 4101 Percival Road, Columbia SC.  Typical office environment. Some travel required.

What You will Do

  • Ensure prompt and accurate settlement of claims, appeals, and/or customer service inquiries. Coordinates with other areas while establishing and maintaining excellent customer relations.
  •  Analyze problems and concerns to make effective decisions that provide positive solutions. Make recommendations for process improvements and efficiencies for the department.
  • Serves as a liaison for internal and external customers. Ensures the timely and accurate resolution of any issues and/or provides necessary training to staff as needed or requested.

To Qualify for this Position, you will Need.

  • Bachelor's.
  • Degree Equivalency: 4 years job related work experience or Associate's and 2 years job related work experience.
  • 2 years of claims/appeals, customer service, or call center experience.
  • Strong analytical, organizational, and judgment skills.
  • Excellent customer service skills.
  • Ability to persuade, negotiate or influence.
  • Strong oral and written communication skills. Strong spelling, punctuation, and grammar skills.
  • Demonstrated leadership ability.
  • Microsoft Office.

What we Prefer:

  • Bachelor's degree
    4 years-of healthcare, customer service, or claims experience.
  • Previous budget experience.
  • 1 year-of leadership experience including scheduling or coordinating work of others, developing work procedures and training for others, and/or leading group project initiatives.
  • Strong presentation skills.
  • Basic business math skills.
  • Ability to interact easily with customers, staff, and other members of the organization.
  • Knowledge of the benefit plans for each group.
  • Knowledge of all systems and their roles in claims adjudication. S
  • Strong leadership skills to direct and motivate employees.
  • Knowledge of performance standards and quality assurance guidelines.

What We Can Do for You

You are not alone. We are here to support you:

Our comprehensive benefits package includes:

  • 401(k) retirement savings plan with company match
  • Subsidized health plans and free vision coverage
  • Life insurance
  • Paid annual leave – the longer you work here, the more you earn.
  • Nine paid holidays
  • On-site cafeterias and fitness centers in major locations
  • Wellness programs and healthy lifestyle premium discount
  • Tuition assistance
  • Service recognition

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 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.



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Company

BlueCross BlueShield of South Carolina

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