Claims Technician

PGBA,•Florence, SC

1d•Onsite

About The Position

The Claims Technician performs routine but varied clerical duties according to standard procedures and helps ensure claims are processed in a timely manner. The role involves handling paper claims and correspondence, maintaining records, preparing forms, verifying information, resolving routine problems, and using department policies and procedures alongside a general understanding of other departments' functions. This is a full-time, 40-hour-per-week, Monday-through-Friday position, with hours of 8:00 a.m. to 5:00 p.m. It is on-site in a typical office environment at 2141 West Gate Place, Florence, South Carolina. The position is with PGBA, a BlueCross BlueShield of South Carolina subsidiary. As the company has federal contracts subject to the Service Contract Act, employees cannot opt out of health benefits; supplemental pay is provided until enrollment in health benefits 28 days after the hire date. The position is not eligible for current or future sponsorship.

Requirements

High school diploma or equivalent.
Strong organizational and analytical skills.
Good communication and organizational skills.
Attention to detail.
Ability to handle confidential or sensitive information with discretion.

Nice To Haves

Ability to accurately key 5,000 keystrokes per hour or type 30 words per minute.
Knowledge of word processing and spreadsheet applications.

Responsibilities

Receive, open, sort, and distribute incoming departmental mail or work requests.
Check workflow documents for required information and request missing documentation as needed.
Scan documents for storage in the electronic repository.
Prepare correspondence or packages for internal and external mailing.
Screen and verify information, ensuring accurate processing of paper claims and correspondence in accordance with quality and production standards, contract regulations, policies, and guidelines.
Conduct data element verification for data elements that fail the mapping process before claims adjudication.
Apply appropriate indexes to claims and/or correspondence as needed.
Maintain departmental logs, spreadsheets, or databases.
Use available reference materials to perform daily functions.
Track supply inventory and order supplies as needed.
Maintain records, prepare forms, verify information, and resolve routine problems.