Claims Operations Supervisor

Summary
 Responsible for overseeing an area responsible for the timely and comprehensive investigation and processing of assigned claims.
Description
 

Logistics:

• This is a full-time position (40 HOW).
• The ideal candidate will be required to work in either our Columbia, SC or our Birmingham, Alabama locations.

What You Will Do:

• Ensure the timely processing and adjudication of all claims.
• Performs quality control reviews and/or monitor performance of staff to ensure appropriate understanding and utilization of applicable laws, contract policies, and procedures.
• Monitors production and timeliness of work and maintains desk procedures.
• Responsible for recruiting and hiring, coaching and mentoring, monitoring and evaluation, and addressing all disciplinary issues in a timely manner.
• 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.
• Establish and maintain a strong working relationship with all internal and external customers.

To Qualify for This Position, You Will Need:

• Required Education: Bachelor's Degree or Work Equivalency.
• Four years job related work experience OR Associate's and 2 years job related work experience.
• Required Work Experience: 1 year of claims processing experience.
• 1 year of lead experience (may be concurrent).
• Required Skills and Abilities:  Strong organizational, leadership, decision making, analytical, problem solving, interpersonal and time management skills.
• Strong knowledge of claims processing and related support systems.
• Strong verbal and written communication skills.
• Ability to handle confidential or sensitive information with discretion.
• Required Software and Other Tools: Proficient in Microsoft Office Products.
• Work Environment: Typical office environment. Ability to travel as needed.

We Prefer That You Have:

• Preferred Education: Bachelor's degree-in Business Management or Administration.
• Preferred Work Experience: 6 years-of claims processing experience. Previous supervisory experience or equivalent military experience in grade E4 of above.
• Preferred Skills and Abilities: Strong presentation skills. Ability to persuade, negotiate and influence.

What We Can Do for You:

• 401(k) retirement savings plan with company match.
• Subsidized health plans and free vision coverage.
• Life insurance.
• Paid annual leave – the longer you work here, the more you earn.
• Nine paid holidays.
• On-site cafeterias and fitness centers in major locations.
• Wellness programs and healthy lifestyle premium discount.
• Tuition assistance.
• Service recognition.
• Incentive Plan.
• Merit Plan.
• Continuing education funds for additional certifications and certification renewal.

What to Expect Next:

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with a recruiter to verify resume specifics and salary requirements.

Management will be conducting interviews with those candidates who qualify, 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.  Some states have required notifications. Here's more information. 

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 [email protected] or call 1-800-288-2227, ext. 47480 with the nature of your request. We will decide 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.

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

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 [email protected] or call 1-800-288-2227, 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.