Why should you join the BlueCross BlueShield 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!

Position Purpose:

Coordinate with relevant areas to ensure customers (agents, group administrators, members, etc.) receive outstanding customer service and to ultimately retain customer base.  Address issues as they are identified.  Resolve and communicate results, concerns and/or problems to management.

What You'll Do:

• Provide comprehensive service to all assigned groups in a professional manner. Respond to internal and external inquiries pertaining to assigned group(s) received from group administrators, internal management, providers, vendors, various internal departments, etc. Inquiries may be any question related to the assigned group(s), and may include eligibility, benefits, claims, billing, etc. Responsible for ensuring all customer inquiries are resolved in a timely manner.

• Assist Marketing Representatives with eligibility issues, claims issues, and pharmacy issues on behalf of group administrators and members. Make outreach calls to new groups and existing groups. May travel to groups and benefit fairs to assist marketing.

• Train claims/customer service staff on benefits, claims processing procedures, and/or and changes specific to the assigned group(s). May support membership, ensuring correct eligibility information is available.

• Log and track all inquiries received by email and fax. May create and run reports to identify and analyze trends or to resolve issues.

• Assist in special projects as assigned by management.

To Qualify For This Position, You'll Need the Following:

• Required Work Experience: 4 years of directly related work experience.

• Required Education: Bachelor's Degree.

• Required Degree Equivalency: 4 years job related leadership experience with claims, customer service or in a healthcare setting.

• Required Skills and Abilities: Proven ability to effectively troubleshoot. Strong interpersonal skills and demonstrated customer service orientation.

• Excellent time management, organizational, and priority setting skills. Excellent verbal and written communication skills.

• Strong analytical and problem-solving skills. Ability to take initiative and to work with deadlines. Ability to work independently.

• Ability to adapt to continuous change in policies and procedures. Knowledge of health insurance terminology and its appropriate application.

• Microsoft Office.

We Prefer That You Have The Following:

• Knowledge of Health Insurance Terminology and its appropriate application.

We offer our employees great benefits and rewards. You will be eligible to participate in our benefits program the first of the month following 28 days of employment.   

What We Can Do for You: 

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 individuals with disabilities and protected 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 disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.

If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.

Some states have required notifications. Here's more information.