Claims Technician

We are hiring a Claims Technician! In this role, you will perform routine but varied clerical duties in accordance with standard procedures. This includes clerical duties such as photocopying, compiling records, filing, tabulating, posting information, distributing mail, screening, scanning, data element verification and document indexing. You will apply knowledge of department policies and procedures and utilizes a general understanding of other departments' functions.

You will maintain records, prepares forms, verifies information, and resolves routine problems. In addition, you will ensure claims are processed in a timely manner.

Why should you join the Blue Cross Blue Shield 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!

Performs routine but varied clerical duties in accordance with standard procedures. This includes clerical duties such as photocopying, compiling records, filing, tabulating, posting information, distributing mail, screening, scanning, data element verification and document indexing. Applies knowledge of department policies and procedures and utilizes a general understanding of other departments' functions. Maintains records, prepares forms, verifies information and resolves routine problems. Ensures claims are processed in a timely manner.

PGBA – one of Blue Cross Blue Shield's South Carolina subsidiary companies

This position is full-time (40-hours/week) Monday-Friday from 8:00am-5:00pm in a typical office environment. This role is located on-site at 2141 West Gate Place, Florence, SC 29501.

SCA Benefit Requirements:
Blue Cross Blue Shield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). Under the McNamara-O'Hara Service Contract Act (SCA), employees cannot opt out of health benefits. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date.

Sponsorship:
This position is not eligible for sponsorship now or in the future.

• Receives, opens, sorts and distributes incoming departmental mail or work requests.
• Checks workflow documents to ensure required information is available.
• Requests any missing documentation as needed.
• Scans all documents for storage in the electronic repository.
• Prepares correspondence or packages for internal/external mailing.
• Screens and verifies information.
• Ensures proper and accurate processing flow of all paper claims and correspondence in accordance with department standards for quality and production, contract regulations, policies and guidelines.
• Conducts data element verification of data elements for those that fail the mapping process prior to claims adjudication.
• Applies appropriate indexes as needed to claims and/or correspondence.
• Maintains departmental logs, spreadsheets or databases.
• Effectively uses all available reference materials in performance of daily functions.
• Keeps track of supply inventory and/or orders supplies as needed.

• Required
  
  Education:
  
  High School Diploma or equivalent
• Required
  
  Ski…