Summary
Manages claims and customer service areas.
Description
Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. This role is located on-site at 17 Technology Circle, Columbia SC.
Sponsorship: This position is not eligible for sponsorship now or in the future.
What You’ll Do:
- Manages staff responsible for providing excellent customer service and timely and accurate processing of claims or appeals. Ensures department standards for production, timeliness, and quality are met.
- Prepares and reviews management reports. Monitors monthly reports to ensure department standards for production, timeliness, and quality are met. Makes recommendations for process improvements.
- Maintains effective relationships with internal and external customers by assisting with inquiries and resolving issues.
To Qualify for This Position, You'll Need the Following:
- Required Education:
- Bachelor’s
- Degree Equivalency:
- 4 years job related work experience OR Associate's and 2 years job related work experience (Equivalency not applicable for the Celerian Group. Bachelor's degree required.)
- Required Work Experience:
- 3 years of insurance experience in claims or appeals processing and customer service.
- 1 year of supervisory/team lead experience OR 1 year of equivalent military experience in grade E4 of above.
Required Skills and Abilities:
- Strong oral and written communication and organizational skills.
- Excellent customer service skills.
- Good judgment.
- Ability to persuade, negotiate, or influence.
- Proficient spelling, punctuation, and grammar.
- Microsoft Office.
We Prefer You Have the Following:
- 5 years-of insurance operations experience
- 2 years-of supervisory/team lead experience OR 2 years of equivalent military experience in grade E4 or above (may be concurrent).
- Proven Leadership Experience.
- Strong written and verbal communication skills, with the ability to clearly explain expectations, process changes, and priorities to staff and leadership.
- People Management and Coaching.
- Demonstrated project management and presentation skills.
- Basic business math skills.
- Knowledge of membership and billing systems.
- Demonstrated ability to lead teams through operational change from planning through implementation.
- Experience documenting, organizing, and maintaining operational processes, procedures, and workflows.
- Demonstrated ability to organize team workloads, monitor follow-through, and ensure timely execution of assigned work.
- Experience identifying process gaps and implementing practical improvements to improve quality, timeliness, or consistency.
Our Comprehensive Benefits Package Includes the Following:
We offer our employees great benefits and rewards. You will be eligible to participate in the benefits for the first of the month following 28 days of employment.
- Subsidized health plans, dental and vision coverage
- 401k retirement savings plan with company match
- Life Insurance
- Paid Time Off (PTO)
- On-site cafeterias and fitness centers in major locations
- Education Assistance
- Service Recognition
- National discounts to movies, theaters, zoos, theme parks and more
What We Can Do for You:
We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.
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 our recruiter to verify resume specifics and salary requirements.
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 [email protected] 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.
Skills Required
- Bachelor's degree
- 3 years of insurance experience in claims or appeals processing and customer service
- 1 year supervisory or team lead experience (or equivalent military experience E4 or above)
- Strong oral and written communication and organizational skills
- Excellent customer service skills
- Good judgment
- Ability to persuade, negotiate, or influence
- Proficient spelling, punctuation, and grammar
- Microsoft Office proficiency
- 5 years of insurance operations experience
- 2 years supervisory/team lead experience or equivalent military experience (may be concurrent)
- Proven leadership experience; people management and coaching
- Demonstrated project management and presentation skills
- Basic business math skills
- Knowledge of membership and billing systems
- Experience leading operational change from planning through implementation
- Experience documenting and maintaining processes, procedures, and workflows
- Experience identifying process gaps and implementing improvements
BlueCross BlueShield of South Carolina Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about BlueCross BlueShield of South Carolina and has not been reviewed or approved by BlueCross BlueShield of South Carolina.
-
Healthcare Strength — The package includes multiple medical and dental plan options, free vision, company‑paid life insurance, and short‑/long‑term disability, plus wellness programs and an EAP. On‑site clinics and fitness centers at major locations complement core health coverage.
-
Leave & Time Off Breadth — Paid time off starts at about four weeks per year alongside nine paid holidays. This provides substantial baseline leave from day one.
-
Wellbeing & Lifestyle Benefits — Wellness discounts, coaching, and incentives are emphasized, with on‑site fitness resources where available. Additional tools and services support day‑to‑day wellbeing.
BlueCross BlueShield of South Carolina Insights
What We Do
For more than six decades, BlueCross BlueShield of South Carolina has been part of the national landscape. Our roots are firmly embedded in the state. We are the largest insurance company in South Carolina. We are also the only one that has an A+ Superior A.M. Best rating. We are one of the nation's leading government contract administrators. We operate one of the most sophisticated data processing centers in the Southeast and have a diverse family of subsidiary companies. Our full-time employees enjoy benefits like a 401(k) retirement savings plan with company match, subsidized health plans, free vision coverage, life insurance, paid annual leave and holidays, wellness programs and education assistance. If you are a full-time employee in the National Guard or reserves, we will cover the difference in your pay if you are called to active duty. BlueCross has a dedicated corporate culture of community support. Our employees are some of the most giving in the country. They support dozens of nonprofit organizations every year. If you're ready to join a diverse company with secure, community roots and an innovative future, apply for a position now!








