Claims Customer Service Director

BlueCross BlueShield of South Carolina
life insurance, paid time off, tuition assistance, 401(k)
United States, South Carolina, Columbia
Sep 11, 2024
Summary 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! Position Purpose: As the Claims Customer Service Director, you will lead a diverse team of over 100 employees, overseeing various functions, including claims processing, customer service, system implementations, and government mandated changes. Your mission is to ensure the efficient and accurate processing of claims, maintain data integrity in our systems, and represent the organization with strong communication (verbal and written) skills. You will leverage your leadership abilities to cultivate a high-performance culture, implement government contracts and establish performance metrics to drive continuous improvement. Description Logistics: This is a full-time position working (40-hours/week) Monday-Friday 8:00am - 5:00pm working on-site at 17 Technology Circle Columbia SC, in an office environment with some travel between offices in South Carolina. Could be expected to occasionally adjust schedule to cover Pacific time zone due to this contract serving the West region. REQUIRED GOVERNMENT CLEARANCE: DoD Security Clearance What You'll Do: Directs customer service, claims processing, and/or appeals staff in ensuring prompt and accurate processing of items and inquiries. Develops and supports strategic initiatives to enhance provider and customer satisfaction. Works closely with areas to track performance and develop measures of success. Implements process improvements. Identifies system limitations and serves as project leader on system enhancements and updates. Leads and supports achievement of departmental, divisional, and corporate strategic objectives. Collaborates with other functional areas to resolve multi-functional issues. Provides necessary assistance and resources when necessary. Develops and monitors budget and resources for all assigned areas. Responsible for the selection, training, and development of staff. Ensures excellent customer service is given to employees, customers, management, etc. To Qualify For This Position, You'll Need: REQUIRED GOVERNMENT CLEARANCE: DoD Government Clearance Required Education: Bachelor's degree Required Work Experience: 7 years of healthcare program or customer service experience to include budget management experience including 3 years of management/supervisory experience OR 3 years of equivalent military experience in grade E4 or above (may be concurrent). Required Skills: * Strong organizational, analytical, presentation, and customer service skills. * Strong oral and written communication skills. * Ability to persuade, negotiate or influence. * Ability to handle confidential or sensitive information with discretion. * Proficient spelling, punctuation, grammar, and basic business math. Required Software and Tools: Microsoft Office. What We Prefer You To Have: TRICARE knowledge/experience Government Program Experience (Medicare, Medicaid, State Programs, etc) Experience implementing government contracts or other transition activity Experience managing Claims and/or Customer Service teams Experience managing multiple or teams of large scale Proposal writing experience 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. 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 Wellness program and healthy lifestyle premium discount Tuition assistance Service recognition Employee Assistance 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 you meet the qualifications. This may include a brief telephone interview or email communication with our 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'smore 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 mycareer.help@bcbssc.com 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. 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 mycareer.help@bcbssc.com 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.