Supervisor, Claims Customer Service

Summary

Position Purpose:

In the role as the Claims Customer Service Supervisor, the ideal candidate will oversee an area responsible for dental and medical claims, appeals, and/or customer service to ensure departmental performance guarantees are met.

Description

Claims Customer Service Supervisor

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 7:45am-4:15 pm reporting onsite to 4101 Percival Road Columbia, SC 29219. Upon completing training, and meeting departmental standards, there may be an opportunity to have a flexible work arrangement.

What You’ll Do

• Ensure prompt and accurate settlement of claims, appeals, and/or customer service inquiries
• Ensure the timely and accurate resolution of any issues and/or provides necessary training to staff as needed or requested
• Analyze problems and concerns to make effective decisions that provide positive solutions
• Serves as a liaison for internal and external customers
• Coordinate with other areas while establishing and maintaining excellent customer relations
• Make recommendations for process improvements and efficiencies for the department

To Qualify For This Position, You’ll Need

• Strong analytical, organizational, and judgment skills
• Demonstrated leadership ability
• Bachelor's degree or 4 years of healthcare experience in customer service, provider network service, membership, billing, and/or claims/appeals processing operations
• Strong spelling, punctuation, and grammar skills
• Microsoft Office
• 2 years of claims/appeals, customer service, or call center experience
• Excellent customer service skills
• Ability to persuade, negotiate or influence
• Strong oral and written communication skills

We Prefer That You Have

• Knowledge of the benefit plans for each group
• Strong leadership skills to direct and motivate employees
• Knowledge of all systems and their roles in claims adjudication
• Basic business math skills
• Previous budget experience
• Strong presentation skills
• Ability to interact easily with customers, staff, and other members of the organization
• Knowledge of performance standards and quality assurance guidelines
• Previous dental experience
• Bachelor's degree
• 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
• 4 years-of healthcare, customer service, or claims experience

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.

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

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 require proof of semester hours, please attach your transcript to your application.

Management will be conducting interviews with the most qualified candidates, with prioritization given 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.