Lead Claims Clerk

BlueCross BlueShield of South Carolina•Columbia, SC

1d•Onsite

About The Position

Assists management in the planning, coordination, and assignment of work across staff. Trains new staff, and assists staff with the proper processing methods. May screen, code and key claims in claims system. Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, 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, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! Position Purpose: Assists management in the planning, coordination, and assignment of work across staff. Trains new staff, and assists staff with the proper processing methods. May screen, code and key claims in claims system. Logistics: Palmetto GBA – one of BlueCross BlueShield's South Carolina subsidiary companies. Location: This position is full-time (40 hours/week), Monday-Friday, from 8:00AM to 5:00PM , and will be onsite at one of the following locations: 2743 Perimeter Pkwy, Augusta, GA 30909; 200 N Dozier Blvd, Florence, SC 29501; or 17 Technology Cir, Columbia, SC 29203. Sponsorship: This position is not eligible for sponsorship now or in the future.

Requirements

High School Diploma or equivalent.
4 years of experience in a claims operations environment to include data entry experience.
Organizational, judgment, and customer service skills.
Ability to handle confidential or sensitive information with discretion.
Flexibility to perform multiple functions, strong judgment and attention to detail.
Proficient spelling, punctuation, and grammar.
Microsoft Office.
Ability to type a minimum of 5000 KSPH and proficient with numeric keypad.

Nice To Haves

Intermediate in word processing, spreadsheet applications, and database software.

Responsibilities

Assembles and distributes electronic and hard copy claims to support staff.
May screen, code and key claims to ensure proper and accurate adjudication of claims in accordance with departmental standards for quality and production, contract regulations, policies and guidelines.
Processes edits and resolves errors through claims editing software.
Collects, sorts, and delivers completed claims to the appropriate area.
Documents errors and other important information throughout claims processing.
Assists support staff with questions throughout processing.