Claims Processor

Position: Claims Processor I
## Claims Processor IApply:
On-site:
Florence, South Carolina:
Part time:
Posted Today:
End Date:
October 5, 2026 (3 days left to apply):
R1052565#
** Summary
* * We are currently hiring for a Claims Processor I to join Blue Cross Blue Shield of South Carolina. You will be responsible for the accurate and timely processing of claims.
Why should you join the Blue Cross Blue Shield of South Carolina family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, 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 that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!
Here is your opportunity to join a dynamic team at a diverse company with secure, community roots and an innovative future.#
** Description
* *** Position

Purpose:

** Responsible for the accurate and timely processing of claims.  
** Logistics:*
* ** PGBA****– one of Blue Cross Blue Shield's South Carolina subsidiary companies.*
* *
* Location:

** This position is part-time (20-hours/week) Monday-Friday from 8am-12pm and training will be Monday-Friday from 8am-4:30pm for five weeks in a typical office environment. This role is located on-site at 200 North Dozier Boulevard, Florence, SC 29501.  
** Sponsorship:
** This position is not eligible for sponsorship now or in the future.  
*
* What You’ll Do:

*** Researches and processes claims according to business regulation, internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes.
* Resolve system edits, audits and claims errors through research and use of approved references and investigative sources.
* Coordinate with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary.  
** To Qualify for This Position, You'll Need the Following:**
* ** Required

Education:

** High School Diploma or equivalent
* ** Required

Skills and Abilities:

*** Strong analytical, organizational and customer service skills.
* Strong oral and written communication skills.
* Proficient spelling, punctuation and grammar skills.
* Good judgment skills.
* Basic business math skills**.**
* ** Required Software and Tools:
** Basic office equipment.  
** We Prefer That You Have the Following:**
* ** Preferred

Work Experience:

** 1 year-of experience in a healthcare or insurance environment.
* ** Preferred

Skills and Abilities:

** Ability to use complex mathematical calculations.
* ** Preferred Software and Other Tools:
** Proficient in word processing and spreadsheet applications. Proficient in database software.  
** Our Comprehensive Benefits Package Includes the Following:
** We offer our employees great benefits and rewards.  You will be eligible to participate in the benefits for the first of the month following 28 days of employment.  
* 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 We Can Do for You:
** We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop…