Current jobs related to Claims Support Specialist II - Myrtle Beach, South Carolina - BlueCross BlueShield of South Carolina

  • Claims Resolution Specialist

    1 month ago

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

    Job SummaryWe are seeking a skilled Claims Customer Service Advocate II to join our team at BlueCross BlueShield of South Carolina. In this role, you will be responsible for responding to routine correspondence and telephone inquiries related to claims or appeals. Your attention to detail and ability to identify incorrectly processed claims will be crucial...

  • Claims Processor II

    2 weeks ago

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

    Job SummaryWe are seeking a skilled Claims Processor II to join our team at BlueCross BlueShield of South Carolina. In this role, you will be responsible for reviewing and adjudicating complex or specialty claims, ensuring that they are processed according to business and contract regulations, internal standards, and examining guidelines.Key...

  • Claims Resolution Specialist

    3 weeks ago

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

    Job SummaryWe are seeking a skilled Claims Customer Service Advocate II to join our team at BlueCross BlueShield of South Carolina. As a key member of our customer service team, you will be responsible for responding to routine correspondence and telephone inquiries related to claims or appeals.Key ResponsibilitiesIdentify and resolve claims-related issues...

  • Roofing Claims Specialist

    3 days ago

    Myrtle Beach, South Carolina, United States United Contractors Roofing Full time

    Job Title: Roofing Claims SpecialistThe Roofing Claims Specialist at United Contractors Roofing is responsible for managing the full lifecycle of insurance claims related to roofing projects.This role involves acting as the liaison between customers, insurance companies, and internal teams to ensure smooth and efficient claim processing.The Roofing Claims...

  • Claims and Appeals Specialist

    2 months ago

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

    Job Title: Claims and Appeals SpecialistAbout the RoleWe are seeking a highly skilled Claims and Appeals Specialist to join our team at BlueCross BlueShield of South Carolina. As a Claims and Appeals Specialist, you will play a critical role in ensuring the accuracy and efficiency of our claims processing operations.Key ResponsibilitiesClaims Processing:...

  • Insurance Claims Examiner

    2 weeks ago

    Myrtle Beach, South Carolina, United States HUB International Full time

    International Opportunities:HUB International Limited, a leading global insurance and employee benefits broker, is seeking a skilled Billing Specialist to join their team. As a Billing Specialist, you will play a critical role in managing the financial aspects of our clients' insurance policies. This includes processing claims, managing premiums, and...

  • Claims Customer Service Representative

    1 month ago

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

    Job SummaryWe are seeking a highly skilled Claims Customer Service Associate to join our team at BlueCross BlueShield of South Carolina. As a Claims Customer Service Associate, you will be responsible for responding to written and/or telephone inquiries, examining and processing claims, and identifying complaints and inquiries that require further action.Key...

  • Claims Customer Service Representative

    3 weeks ago

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

    About the RoleThis Claims Customer Service Associate I position is a full-time opportunity in a typical office environment, Monday through Friday. The role involves responding to written and/or telephone inquiries, ensuring that contract standards and objectives for timeliness, productivity, and quality are met. The ideal candidate will have excellent...

  • Claims Customer Service Representative

    1 month ago

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

    About the RoleThis Claims Customer Service Associate I position is a full-time opportunity in a typical office environment, Monday through Friday. The role involves responding to written and/or telephone inquiries, ensuring that contract standards and objectives for timeliness, productivity, and quality are met. The ideal candidate will have excellent...

  • Insurance Claims Examiner

    3 days ago

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

    Job Summary: We are seeking a skilled Claims Processor to join BlueCross BlueShield of South Carolina.Key Responsibilities:Process claims accurately and efficiently.Resolve claims-related issues in a timely manner.Collaborate with internal teams to ensure seamless claim processing.About the Role: As a Claims Processor, you will play a critical role in...

  • Healthcare Provider File Specialist

    4 weeks ago

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

    Job SummaryWe are seeking a skilled Healthcare Provider File Specialist to join our team at BlueCross BlueShield of South Carolina. In this role, you will be responsible for establishing and maintaining certification and/or preparation, review and/or maintenance of healthcare provider files in support of provider directories, accurate/timely claims...

  • Insurance Claims Specialist

    3 days ago

    North Myrtle Beach, South Carolina, United States Todd Insurance Agency, Inc - Allstate Full time

    Job Title: Insurance Customer ServiceJob Summary:We are seeking a highly skilled Insurance Customer Service Representative to join our team at Todd Insurance Agency, Inc - Allstate. As a licensed Customer Service Representative, you will be responsible for assisting clients with their insurance needs and ensuring their satisfaction.Key Responsibilities:*...

  • RN Home Health Specialist

    2 weeks ago

    Myrtle Beach, South Carolina, United States HealthCare Support Full time

    RN Home Health Job OpportunityHealthCare Support is seeking a skilled RN Home Health professional for a 13-week contract in Myrtle Beach, South Carolina.Benefits of Working with HealthCare Support:Immediate enrollment in health insuranceDental insuranceLife insuranceEmployee Assistance Program (EAP)Access to open investment accountsResources Beyond the...

  • Technical Support Specialist

    2 weeks ago

    Myrtle Beach, South Carolina, United States NETRIO Full time

    Job Title: Technical Support SpecialistWe are seeking a highly motivated and detail-oriented Technical Support Specialist to join our team at NETRIO. As a Technical Support Specialist, you will be responsible for providing exceptional customer service and technical support to our clients via phone, email, and other communication channels.Key...

  • Sales Support Specialist

    4 weeks ago

    Myrtle Beach, South Carolina, United States Peak Performance Team Full time

    Job OverviewThe Peak Performance Team is seeking a highly skilled Sales Support Specialist to join our dynamic team. As a Sales Support Specialist, you will play a critical role in ensuring the success of our sales team by providing exceptional support and administrative assistance.Key ResponsibilitiesPrepare and maintain complex tracking reports to analyze...

  • Insurance Solutions Specialist

    1 month ago

    Myrtle Beach, South Carolina, United States Big I South Carolina Full time

    Insurance Solutions SpecialistWe are seeking a skilled Insurance Solutions Specialist to join our team at Big I South Carolina. As a key member of our team, you will be responsible for providing exceptional service to our clients, identifying their insurance needs, and delivering tailored solutions to meet those needs.Key Responsibilities:Actively shop...

  • IT Support Specialist

    2 months ago

    Myrtle Beach, South Carolina, United States Core Technology Solutions Full time

    Position Overview: We are in search of a skilled IT Support Specialist to join our team for a long-term engagement with a prominent insurance firm.Role Summary: If you are an experienced desktop technician with over two years of technical support experience, this opportunity allows you to enhance your expertise while working with one of the major employers...

  • Quality Assurance Specialist

    3 weeks ago

    Myrtle Beach, South Carolina, United States Chili's Grill & Bar Full time

    Role OverviewWe are seeking a highly motivated Quality Assurance Specialist to join our team at Chili's Grill & Bar. As a Quality Assurance Specialist, you will play a critical role in ensuring that every guest receives perfectly prepared, high-quality food in a timely manner.ResponsibilitiesEnsure food is prepared to company standards and specificationsKeep...

  • Technical Support Specialist

    1 month ago

    Myrtle Beach, South Carolina, United States NETRIO Full time

    About the RoleWe are seeking a highly skilled and experienced Technical Support Specialist to join our team at NETRIO. As a key member of our Technical Services Delivery Team, you will be responsible for providing top-notch technical support to our clients.Key ResponsibilitiesRespond to technical assistance requests via phone, chat, or emailDiagnose and...

  • Maintenance Technician II

    1 month ago

    Myrtle Beach, South Carolina, United States Marriott Vacations Worldwide Full time

    {"title": "Maintenance Technician II", "description": "Job SummaryWe are seeking a skilled Maintenance Technician II to join our team at Marriott Vacations Worldwide. As a Maintenance Technician II, you will be responsible for performing mid-level repairs, responding to guest repair requests, and performing preventive maintenance tasks. You will also...

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 crucial role in ensuring customer satisfaction by addressing inquiries related to claims and appeals. This position involves:

  • Responding to Inquiries: Handling routine correspondence and telephone inquiries regarding claims or appeals.
  • Claims Adjustment: Identifying and rectifying incorrectly processed claims, including completing necessary adjustments and reprocessing actions.

Key Responsibilities:

  1. Researching and providing accurate responses to customer service inquiries.
  2. Advocating for customers by ensuring their claims are processed correctly and efficiently.
  3. Collaborating with various departments to resolve issues related to claims.

This role is essential in maintaining the integrity of the claims process and ensuring a high level of service within the healthcare sector.