BlueCross and BlueShield of South Carolina

SummaryResponsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Reviews and adjudicates claims and/or nonmedical appeals. Determines whether to return deny or pay claims following organization More...

SummarySupervises the operations of Subrogation and Workers Compensation department to recover money for the corporation.DescriptionLogistics:This is a full time 40 HPW) position and our ideal candidate will work onsite at our Columbia SC location.What Youll Do:Perform quality control More...

SummaryConducts business process analyses needs assessments and preliminary cost/benefit analyses in an effort to align operations solutions with business initiatives. Prepares functional system and program specifications. Provides management support in review of various internal/exte More...

SummaryResponsible for conducting effective and efficient recruitment activities proactively sourcing and networking for professional managerial and operational positions within the organization. They adopt a consultative approach working closely with management to understand business More...

SummaryUnder general supervision responsible for interpreting reviewing and analyzing benefit plan designs. Responsible for creating scope design and specification documents for programming of benefits from benefit plan designs. Responsible for programming and / or auditing benefits More...

SummaryWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but for more than seven decades weve been part of the national landscape with our roots firmly embedded in the South Carolina community. We are the largest insurance c More...

SummaryDevelops coordinates and aides in administration of wellness programming for various clients to promote optimal employee health and increase utilization of wellness programs and initiatives. Responsible for group presentations of wellness related information and promoting welln More...

SummaryThis is an onsite fulltime position located in Greenville South Carolina.DescriptionLogistics:This is a full time 40 HPW) position and our ideal candidate will work onsite at our Columbia SC location.What Youll Do:Research and process claims according to business regulation int More...

SummaryUnder direct supervision performs quality control audits reviews or monitoring of departmental operations functions including but not limited to claims membership customer service/call center workflow processing support systems procedures documentation etc. Identifies problems More...

SummaryWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but for more than seven decades weve been part of the national landscape with our roots firmly embedded in the South Carolina community. We are the largest insurance c More...

SummaryCoordinates and performs testing for major system enhancements including reviewing documents for testing creating test matrices and executing test cases. Functions as a liaison between the operations areas and Information systems by researching technical production issues for More...

SummaryDescriptionLogistics: PGBA one of BlueCross BlueShields South Carolina subsidiary companiesLocation: This position is fulltime 40hours/week) MondayFriday in a typical office environment. You will work an 8hour shift scheduled during our normal business hours of 8:00AM5:00PM. I More...

SummaryWe are currently hiring for a Behavioral Health Care Management Manager to join BlueCross BlueShield of South Carolina. In this role as a Behavioral Health Care Management Manager you will oversee the Case Management functions and staff ensuring all documentation timeliness and More...

SummaryProvides prompt accurate thorough and courteous responses to all telephone inquiries. Performs research as needed to resolve inquiries.DescriptionLogistics:This position is fulltime 40 hours/week) working onsite located at 200 North Dozier Blvd Florence SC 29501What Youll Do:E More...

SummaryWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but for more than seven decades weve been part of the national landscape with our roots firmly embedded in the South Carolina community. We are the largest insurance c More...

SummaryReceive shipments from supply department and outside vendors. Pull inventory (inserts envelopes) for each job/operator. Deliver/Replenish operator supplies. Keep inserts and envelopes organized on production floor and in warehouse. Keep production floor and warehouse free from More...

SummaryWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but for more than seven decades weve been part of the national landscape with our roots firmly embedded in the South Carolina community. We are the largest insurance c More...

SummaryWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but for more than seven decades weve been part of the national landscape with our roots firmly embedded in the South Carolina community. We are the largest insurance c More...

SummaryPerforms advanced varied clerical duties in accordance with standard procedures. This includes clerical duties such as photocopying compiling records filing tabulating posting information and distributing mail. Applies knowledge of department policies and procedures and utilize More...

SummaryWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but weve 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 c More...