Recovery Coordinator

BlueCross BlueShield of South Carolina•Columbia, SC

1d•Onsite

About The Position

The Recovery Coordinator is responsible for ensuring the prompt, appropriate, and accurate distribution of case files and maintaining statistics on questionnaires, ROC06 claims, and caseloads. The role is full-time, 40 hours per week, Monday through Friday, in a typical office environment. The scheduled eight-hour shift falls during normal business hours of 8:00 a.m. to 4:30 p.m. The position is located at 4101 Percival Road, Columbia, South Carolina 29229. This position is not eligible for sponsorship now or in the future.

Requirements

Associate's degree, or two years of job-related work experience as degree equivalency.
One year of experience in claims or customer service.
Ability to analyze laws, regulations, and contract language.
Ability to evaluate issues and develop recommendations.
Ability to handle confidential and sensitive information.
Ability to investigate assigned claims.
Ability to propose claims adjustments and refunds.
Ability to work claims caseloads.

Responsibilities

Research positive questionnaires, activate RCN numbers, and assign cases to claims adjusters.
Maintain statistics and prepare monthly reports concerning questionnaires, ROC06 claims, positive and negative questionnaire responses, case assignments, types of cases, and undelivered mail.
Open ITS ROC6 claims.
Prepare monthly and quarterly savings reports for cost-containment and ASO accounts.
Prepare monthly reports concerning case assignments and the quantity of work performed by adjusters.
Open non-ITS ROC06 claims.
Respond to accident reports from the nursing department.