Join to apply for the Processor, Claims I role at BlueCross BlueShield of South Carolina 1 day ago Be among the first 25 applicants Join to apply for the Processor, Claims I role at BlueCross BlueShield of South Carolina Summary Responsible for the accurate and timely processing of claims. Description Logistics: This is a full-time (40 HPW) position, and our ideal candidate will work on-site at our Columbia, SC location. Government Clearance: This position requires the ability to obtain a security clearance, which requires applicants to be a U.S. Citizen. SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). Employees must enroll in our health insurance, even if they have other coverage. Employees will receive supplemental pay for health insurance until enrolled, starting the first of the month following 28 days after hire. What You'll Do Research and process claims according to business regulation, internal standards, and processing guidelines. Verify 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 relevant 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. Good communication skills. Proficient spelling, punctuation, and grammar. Good judgment. Basic business math skills. Required Software and Tools: Basic office equipment. Our Comprehensive Benefits Package Includes Eligible after 28 days of employment: Subsidized health, dental, and vision coverage 401k with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers Education Assistance What We Can Do For You We value diversity and inclusion, providing opportunities for skill development, career advancement, and contribution of unique abilities. What To Expect Next After application review, you may have a brief interview or email communication. Qualified candidates will be prioritized for interviews. We participate in E-Verify, comply with pay transparency laws, and are an Equal Opportunity Employer. Equal Employment Opportunity Statement We do not discriminate based on age, race, color, national origin, sex, religion, veteran status, disability, sexual orientation, gender identity, or any other protected status. We provide reasonable accommodations for individuals with disabilities or religious needs. For assistance, contact [email protected] or call 800-288-2277, ext. 47480. We are committed to legal compliance and affirmative action policies. #J-18808-Ljbffr