Claims Technician

Bluecross Blueshield of South Carolina • Florence, SC

291d

About The Position

We are hiring a Claims Technician! In this role, you will perform routine but varied clerical duties in accordance with standard procedures. This includes clerical duties such as photocopying, compiling records, filing, tabulating, posting information, distributing mail, screening, scanning, data element verification and document indexing. Applies knowledge of department policies and procedures and utilizes a general understanding of other departments' functions. Maintains records, prepares forms, verifies information and resolves routine problems. Ensures claims are processed in a timely manner.

Requirements

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

Nice To Haves

• Ability to accurately key 5000 ksph or 30 wpm.
• Knowledgeable in word processing and spreadsheet applications.

Responsibilities

• Receives, opens, sorts and distributes incoming departmental mail or work requests.
• Checks workflow documents to ensure required information is available.
• Requests any missing documentation as needed.
• Scans all documents for storage in the electronic repository.
• Prepares correspondence or packages for internal/external mailing.
• Screens and verifies information.
• Ensures proper and accurate processing flow of all paper claims and correspondence in accordance with department standards for quality and production, contract regulations, policies and guidelines.
• Conducts data element verification of data elements for those that fail the mapping process prior to claims adjudication.
• Applies appropriate indexes as needed to claims and/or correspondence.
• Maintains departmental logs, spreadsheets or databases.
• Effectively uses all available reference materials in performance of daily functions.
• Keeps track of supply inventory and/or orders supplies as needed.

Benefits

• 401(k) retirement savings plan with company match
• Subsidized health plans and free vision coverage
• Life insurance
• Paid annual leave - the longer you work here, the more you earn
• Nine paid holidays
• On-site cafeterias and fitness centers in major locations
• Wellness programs and healthy lifestyle premium discount
• Tuition assistance
• Service recognition

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: High school or GED