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Claims Support Specialist II

2 months ago

Myrtle Beach, South Carolina, United States BlueCross BlueShield of South Carolina Full time
Position Overview

The Claims Support Specialist II plays a vital role in ensuring customer satisfaction by addressing inquiries related to claims and appeals. This position requires a keen eye for detail and a commitment to resolving issues efficiently.

Key Responsibilities
  • Inquiry Management: Handle routine correspondence and telephone inquiries regarding claims and appeals.
  • Claims Analysis: Identify claims that have been processed incorrectly and initiate necessary adjustments.
  • Reprocessing Actions: Execute related reprocessing actions to ensure claims are handled accurately.
Skills and Qualifications

The ideal candidate will possess strong analytical skills and a customer-focused mindset, ensuring that all interactions are handled with professionalism and care.

This role is essential in maintaining the integrity of the claims process and providing exceptional service to our members.