Director, Claims Customer Service

BlueCross BlueShield of South Carolina • Columbia, SC

1d • Onsite

About The Position

This position provides direction and guidance to customer service, claims processing, and/or appeals staff for multiple operational areas. It is an onsite, full-time role (40-hours/week) from Monday to Friday in a typical office environment. The work schedule is an 8-hour shift during normal business hours of 8:00 AM to 5:00 PM. Occasional overtime may be required based on business needs, and travel between buildings may also be necessary. The role is located at 17 Technology Circle Columbia, SC 29203.

Requirements

• Bachelor's Degree
• Equivalency: 4 years job related work experience or Associate's and 2 years job related work experience (Equivalency not applicable for the Celerian Group. Bachelor's degree required.)
• 7 years of healthcare program or customer service experience to include budget management experience
• 3 years of management/supervisory experience OR 3 years of equivalent military experience in grade E4 or above (may be concurrent).
• Strong organizational, analytical, presentation, and customer service skills.
• Strong oral and written communication skills.
• Ability to persuade, negotiate or influence.
• Ability to handle confidential or sensitive information with discretion.
• Proficient spelling, punctuation, grammar, and basic business math.
• Microsoft Office.

Responsibilities

• Directs customer service, claims processing, and/or appeals staff in ensuring prompt and accurate processing of items and inquiries.
• Develops and supports strategic initiatives to enhance provider and customer satisfaction.
• Works closely with areas to track performance and develop measures of success.
• Implements process improvements.
• Identifies system limitations and serves as project leader on system enhancements and updates.
• Leads and supports achievement of departmental, divisional, and corporate strategic objectives.
• Collaborates with other functional areas to resolve multi-functional issues.
• Provides necessary assistance and resources when necessary.
• Develops and monitors budget and resources for all assigned areas.
• Responsible for the selection, training, and development of staff.
• Ensures excellent customer service is given to employees, customers, management, etc.

Benefits

• Subsidized health plans, dental and vision coverage
• 401k retirement savings plan with company match
• Life Insurance
• Paid Time Off (PTO)
• On-site cafeterias and fitness centers in major locations
• Education Assistance
• Service Recognition
• National discounts to movies, theaters, zoos, theme parks and more

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 5,001-10,000 employees