Summary
 

We are currently hiring for a Claims Customer Service Supervisor to join CGS/BlueCross BlueShield of South Carolina. In this role as a Claims Customer Service Supervisor, you will be responsible for supervising a team of employees responsible for claims, appeals, and/or customer service to ensure contractual and departmental performance guarantees are met. You will be responsible for recruiting and hiring, coaching and mentoring, monitoring and evaluation, and addressing all disciplinary issues in a timely manner.

Why should you join the CGS and our parent company BlueCross BlueShield of South Carolina family? Other companies come and go, but for more than seven decades we’ve 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 dedicated to the same philosophy, consider joining our team!

Description
 

Logistics:

This position is full time (40 hours/week) Monday-Friday in a typical office environment. Employees are required to work our Monday – Friday 8-hour shift scheduled during hours of 8:00 AM – 5:00 PM. Training will be Monday – Friday 8:00 AM – 5:00 PM for approximately 6-8 weeks. This role is located on-site at 26 Century Blvd Suite ST610, Nashville, TN 37214.

Centers for Medicare and Medicaid Services (CMS) Requirements: Certain divisions within BlueCross BlueShield of South Carolina require CMS (Centers for Medicare and Medicaid Services) residency that requires employees to have lived in the US for at least three (3) out of the last five (5) years. This is a business requirement – government contracts, not an HR requirement. 

What You Will Do:

• Leads 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.
• Responsible for recruiting and 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.
• 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 or
• 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 ski