Claims Adjuster

Remote Full-time
Are you a passionate Claims Adjuster looking to join a team of driven professionals at BlueCross BlueShield of South Carolina? We are looking for a highly organized and detail-oriented individual who is committed to providing exceptional customer service. As a Claims Adjuster, you will be responsible for evaluating and processing claims in accordance with the company's regulations and procedures. In this role, you will be expected to be accurate, thorough, and have excellent communication skills.The ideal candidate must have a minimum of 2 years of experience in a claims-related role and a high school diploma or equivalent. They must also possess a well-developed knowledge of claims processing and medical terminology. Excellent customer service and problem-solving skills are essential to success in this role.If this sounds like the perfect opportunity for you, we would love to hear from you!

Responsibilities:

Evaluate and process claims in accordance with BlueCross BlueShield of South Carolina's regulations and procedures.
Maintain a high level of accuracy and thoroughness when reviewing and processing claims.
Provide excellent customer service to claimants and other external parties.
Utilize problem-solving skills to address complex claims issues.
Develop and maintain in-depth knowledge of claims processing and medical terminology.
Stay up-to-date on changes to company regulations and procedures.
Assist in training new claims adjusters.
Maintain detailed records of each claim.
Ensure that all claims are handled in a timely and efficient manner.

BlueCross BlueShield of South Carolina is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

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