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Claims Customer Service Supervisor - Private Business
BlueCross BlueShield of South CarolinaUnited Statesfull_timeVerifiedPosted 24 Jun 2024
About the role
Summary
As the Supervisor of the Claims Customer Service Team – Concierge Servicing in this fast-paced environment, this role will oversee and are that is responsible for claims appeals and customer service. Customer Service is the heartbeat of our company. We depend on our Claims Center employees to serve our customers and fulfill our promise of reliability. As a Claims Customer Service Supervisor, you are accountable for ensuring customers receive world-class service with every interaction.You could be the one who changes everything for our members. BlueCross BlueShield is transforming the health of our communities, one person at a time. If you're ready to join a diverse company with secure
* Work Hours 10:30 am to 7:00 pm
Description
Logistics:
This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled during our normal business hours of 10:30am-7:00pm. It may be necessary, given the business need to work occasional overtime. You may be required to travel between buildings. This role is located at 4101 Percival Road, Columbia SC 29219 and provides a typical office work environment.
What You’ll Do:
- Lead the claims and customer service staff to 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.
- Manage the recruiting, hiring, coaching, and mentoring, monitoring and evaluation, and addressing all disciplinary issues in a timely manner.
- Encourage staff in creating and maintaining a work environment with high morale and employee satisfaction through support of professional development, training, career growth, and rewarding high performance.
- Serve 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’ll Need:
- Bachelor’s degree OR 4-years of healthcare experience in customer service, provider network service, membership, billing, and/or claims/appeals processing operations.
- 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 proficient.
What do 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.
- Strong leadership skills to direct and motivate employees.
- Knowledge of performance standards and quality assurance guidelines.
What We can Do for You:
We
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