Claims Customer Service Coordinator

 

Description:

This position is onsite at our Percival Road location in Columbia, SC. Please be advised that during the interview process, you will need to provide a writing sample for review by the hiring manager.

What You’ll Do:

  • Distributes daily work to employees, tracks workload and employee performance, and makes appropriate decisions necessary to ensure all processing expectations and team goals are met.
  • Responds accurately and timely to inquiries from team members, including management, concerning customer inquiries, claims adjudication, appeals and other technical issues.
  • Investigates and initiates resolutions to complex problems.
  • Authorizes payment recovery, claim payments, or makes claim rejections based on documented information and provisions of state or federal law.
  • Identifies issues with procedures and processes and provides feedback to management on changes and development.
  • Trains new employees and introduces new material to all employees.
  • Develops, updates, and maintains procedural manuals.
  • Serves as liaison with other departments to address claim, system and quality issues.
  • May perform some testing functions and attend/participate in meetings as needed.


To Qualify for This Position, You’ll Need:

  • High School Diploma or equivalent
  • 3 years of customer service experience and 1 year of claims or appeals processing experience OR Bachelor’s Degree in lieu of work experience.
  • Excellent verbal and written communication skills.
  • Strong customer service skills.
  • Proficient spelling, punctuation, grammar, and basic business math.
  • Ability to handle confidential or sensitive information with discretion.
  • Knowledge of claims processing procedures.
  • Experience with Microsoft Office.

Organization BlueCross BlueShield of South Carolina
Industry Customer Service / Tele Marketing / Tele Sales Jobs
Occupational Category Claims Customer Service Coordinator
Job Location Columbia,USA
Shift Type Morning
Job Type Full Time
Gender No Preference
Career Level Experienced Professional
Experience 3 Years
Posted at 2023-11-01 5:15 pm
Expires on 2024-12-05