Claims Technician

BlueCross BlueShield of South Carolina has been part of the national landscape for more than seven decades and is the largest insurance company in South Carolina. This role is with PGBA, one of BlueCross BlueShield's South Carolina subsidiary companies.

Schedule & Location

Full-time (40 hours/week), Monday–Friday, 8:00 am–5:00 pm. On-site at 2141 West Gate Place, Florence, SC 29501. This position is not eligible for visa sponsorship.

Responsibilities

• Receive, open, sort, and distribute incoming departmental mail or work requests
• Check workflow documents for required information; request missing documentation as needed
• Scan all documents for storage in the electronic repository
• Prepare correspondence or packages for internal/external mailing
• Screen and verify information for accuracy
• Ensure proper and accurate processing flow of all paper claims and correspondence per department quality and production standards, contract regulations, policies, and guidelines
• Conduct data element verification for elements that fail the mapping process prior to claims adjudication
• Apply appropriate indexes to claims and/or correspondence
• Maintain departmental logs, spreadsheets, or databases
• Effectively use all available reference materials in daily functions
• Track supply inventory and order supplies as needed

Requirements

Education

• High School Diploma or equivalent

Required Skills & Abilities

• Strong organizational and analytical skills
• Good communication and organizational skills
• Detail-oriented
• Ability to handle confidential or sensitive information with discretion

Preferred Qualifications

• Ability to accurately key 5,000 ksph or 30 wpm
• Knowledge of word processing and spreadsheet applications

Benefits

Eligibility begins the first of the month following 28 days of employment. Under the Service Contract Act (SCA), employees cannot opt out of health benefits; supplemental pay is provided until health benefits enrollment at 28 days post-hire.

• Subsidized health, dental, and vision plans
• 401(k) retirement savings plan with company match
• Life insurance
• Paid Time Off (PTO)
• On-site cafeterias and fitness centers in major locations
• Education assistance
• Service recognition
• National discounts to movies, theaters, zoos, theme parks, and more