Claims Customer Service Supervisor 11:30-8:00 (PB)

BlueCross BlueShield of South Carolina•Columbia, SC

21h•Onsite

About The Position

This position oversees an area responsible for claims, appeals, and/or customer service to ensure departmental performance guarantees are met. The role involves coordinating with other areas to establish and maintain excellent customer relations, analyzing problems to make effective decisions, and recommending process improvements. The supervisor also serves as a liaison for internal and external customers, ensuring timely and accurate resolution of issues and providing necessary staff training. This is a full-time (40-hours/week) position, Monday-Friday, in a typical office environment, with an 8-hour shift scheduled between 11:30 AM and 8:00 PM. Occasional overtime may be required, and travel between buildings is necessary. The role is located on-site at 4101 Percival Road, Columbia SC. The company, National Alliance, is a subsidiary of BlueCross BlueShield of South Carolina, which is the largest insurance company in South Carolina with an A+ (Superior) A.M. Best rating. The company is committed to diversity, inclusion, and equal employment opportunities, providing reasonable accommodations for individuals with disabilities and sincerely held religious beliefs. They also support veterans.

Requirements

Bachelor’s degree
4 years job related work experience OR Associate’s and 2 years job years job related experience (as degree equivalency)
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.

Nice To Haves

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.

Responsibilities

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.
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