Claims I Clerk Jobs

Summary

Position Purpose:

In the role as a Claims Clerk I, the ideal candidate will be detail-oriented and responsible for screening, coding, and keying claims in claims system. One will also be responsible for ensuring claims are processed in a timely manner and have the ability to work from excel spreadsheets getting statuses on claims.

Description

Claims Clerk I

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’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!

Logistics

This position is full-time position (40 hours per week) Monday through Friday 8:30am-5:00 pm onsite to 1000 Executive Center Drive, Greenville, SC 29616

What You’ll Do

• Correct keying errors as noted by system edits
• Accurately use medical review forms and all available reference materials
• Screen, code, and key claims to ensure proper and accurate adjudication of claims in accordance with departmental standards for quality and production, contract regulations, policies, and guidelines

To Qualify For This Position, You’ll Need

• Strong organizational and analytical skills
• Standard office equipment
• Ability to handle confidential or sensitive information with discretion
• High School Diploma or equivalent
• Strong verbal and written communication skills

We Prefer That You Have

• Intermediate in word processing, spreadsheet application, and database software
• Ability to accurately key 5000 ksph or 30 wpm

What We Can Do For You

We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.

• Service recognition
• On-site cafeterias and fitness centers in major locations
• Wellness program and healthy lifestyle premium discount
• Employee Assistance
• Discounts to movies, theaters, zoos, theme parks and more
• 401K retirement savings plan with company match
• Paid Time Off (PTO)
• Tuition assistance
• Life Insurance
• Subsidized health plans, dental and vision coverage

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. If the qualifications required proof of semester hours, please attach your transcript to your application.

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

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.

If you need special assistance or an accommodation while seeking employment, please e-mail [email protected] or call 1-800-288-2227, ext. 43172 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.