Summary
 

As a Recovery Coordinator, you will be responsible for ensuring the prompt, appropriate, and accurate distribution of case files, and maintaining statistics on questionnaires ROC06 claims and caseloads.

Description
 

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:

This position is onsite at 4101 Percival Rd. Columbia, SC, 29229. The hours are 8:00 a.m. – 5:00 p.m. Monday – Friday.

What You’ll Do:

• Research positive questionnaires, activate RCN numbers, and assign cases to claims adjusters accordingly.
• Maintain statistics and prepare monthly reports concerning questionnaires, ROC06 claims, positive / negative questionnaire responses, assignment of cases, types of cases, and undelivered mail.
• Open ITS ROC6 claims.
• Prepare monthly and quarterly savings reports for cost containment and ASO accounts.
• Prepare monthly reports concerning assignment of cases and the quantity of work performed by adjusters.
• Open non-ITS ROC06 claims.
• Respond to accident reports from nursing department.

To Qualify for This Position, You’ll Need:

• Associate's Degree required.
• 2 years of job-related work experience.
• 1 year of experience in claims or customer service.
• Experience with analyzing laws, regulations, and contract language.
• Experience with evaluating issues and developing recommendations.
• The ability to handle confidential and sensitive information.
• Experience with investigating assigned claims.
• Experience with proposing claims adjustments and refunds.
• Experience working claims caseloads.

What We Prefer:

• Possess a great attention to detail.

What We can Do for You:

• 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.
• Incentive Plan.
• Merit Plan.
• Continuing education funds for additional certifications and certification renewal.

What to Expect Next:

After submitting your application, our recruiting team members will review your resume to ensure your meet the qualifications.  This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.

Management will be conducting interviews with the most qualified candidates, with prioritization give to those candidates who demonstrate the preferred qualifications.