Claims Customer Service Supervisor
Full Time
Columbia, SC 29229
Posted
Job description
Summary
Position Purpose:
In the role as the Claims Customer Service Supervisor, the ideal candidate will supervise a team of employees responsible for claims, appeals, and/or customer service to ensure contractual and departmental performance guarantees are met. One will also be responsible for recruiting hiring, coaching, mentoring, monitoring, evaluating, and addressing all disciplinary issues in a timely manner.
Description
Claims Customer Service Supervisor
Why should you join the BlueCross BlueShield 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!
Logistics:
This position is full-time position (40 hours per week) Monday through Friday. Employees are required to have the flexibility to work any 8-hour shift during the hours of 8:00 – 6:00 pm reporting onsite to 4101 Percival Road, Columbia, SC 29219.
What You’ll Do:
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Lead claims and customer service staff to ensure prompt and accurate settlement of claims, appeals, and/or customer service inquiries
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Coordinate with other areas while establishing and maintaining excellent customer relations
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Analyze problems and concerns to make effective decisions that provide positive solutions
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Make recommendations for process improvements and efficiencies for the department
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Responsible for recruiting and hiring, coaching, and mentoring, monitoring and evaluation, and addressing all disciplinary issues in a timely manner
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Encourage staff in creating and maintaining a work environment with high morale and employee satisfaction through support of professional development, training, career growth, and rewarding high performance
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Serve as a liaison for internal and external customers
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Ensure the timely and accurate resolution of any issues and/or provides necessary training to staff as needed or requested
To Qualify for This Position, You’ll Need:
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Bachelor's degree OR 4 years of healthcare experience in customer service, provider network service, membership, billing, and/or claims/appeals processing operations
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2 years of claims/appeals, customer service, or call center experience
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Strong analytical, organizational, and judgment skills
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Excellent customer service skills
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Ability to persuade, negotiate or influence
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Strong oral and written communication skills
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Strong spelling, punctuation, and grammar skills
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Demonstrated leadership ability
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Microsoft Office
We Prefer That You Have:
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Bachelor's degree
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4 years-of healthcare, customer service, or claims experience
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Previous budget experience
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Previous access database, Excel, and Microsoft Word experience
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1 year-of leadership experience including scheduling or coordinating work of others, developing work procedures and training for others, and/or leading group project initiatives
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Strong presentation skills
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Basic business math skills
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Ability to interact easily with customers, staff, and other members of the organization
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Knowledge of the benefit plans for each group
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Knowledge of all systems and their roles in claims adjudication
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Strong leadership skills to direct and motivate employees
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Knowledge of performance standards and quality assurance guidelines
What We can Do for You:
We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.
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Subsidized health plans, dental and vision coverage
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401K retirement savings plan with company match
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Life Insurance
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Paid Time Off (PTO)
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On-site cafeterias and fitness centers in major locations
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Wellness program and healthy lifestyle premium discount
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Tuition assistance
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Service recognition
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Employee Assistance
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Discounts to movies, theaters, zoos, theme parks and more
What to Expect Next:
After submitting your application, our recruiting team members will review your resume to ensure your meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. If the qualifications require proof of semester hours, please attach your transcript to your application.
Management will be conducting interviews with the most qualified candidates, with prioritization given to those candidates who demonstrate the preferred qualifications.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.
Equal Employment Opportunity Statement
BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.
We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.
If you need special assistance or an accommodation while seeking employment, please e-mail abilities@bcbssc.com or call 1-800-288-2227, ext. 43172 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.
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