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Claims Customer Service Supervisor

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BlueCross BlueShield of South Carolina

1mo ago

  • Job
    Full-time
    Junior, Mid & Senior Level
  • Customer Relations
    People, HR & Administration
  • Nashville
  • Quick Apply

AI generated summary

  • You need a Bachelor's/4 years of related experience, 2 years in claims/customer service, strong communication/leadership skills, and proficiency in Microsoft Office.
  • You will lead claims and customer service teams, ensure timely resolutions, analyze issues, recommend process improvements, recruit and mentor staff, and maintain excellent customer relations.

Requirements

  • To Qualify For This Position, You Will Need
  • Bachelor's or
  • Degree Equivalency: 4 years job related work experience or Associate's and 2 years job related work experience
  • 2 years of claims/appeals, customer service, or call center experience.
  • Strong analytical, organizational, and judgment skills.
  • Excellent customer service skills.
  • Ability to persuade, negotiate or influence.
  • Strong oral and written communication skills.
  • Strong spelling, punctuation, and grammar skills.
  • Demonstrated leadership ability.
  • Microsoft Office.
  • What We Prefer
  • 4 years-of healthcare, customer service, or claims experience.
  • Previous budget experience including durable medical equipment and supplies.
  • 2 years or more of leadership experience including coordinating work of others, developing work procedures and training for others, and/or leading group project initiatives.
  • Strong presentation skills.
  • Basic business math skills.
  • Ability to interact easily with customers, staff, and other members of the organization.
  • Knowledge of the benefit plans for each group.
  • Knowledge of all systems and their roles in claims adjudication.
  • Strong leadership skills to direct and motivate employees.
  • Knowledge of performance standards and quality assurance guidelines.

Responsibilities

  • Leads claims and customer service staff to ensure prompt and accurate settlement of claims, appeals, and/or customer service inquiries.
  • Coordinates with other areas while establishing and maintaining excellent customer relations.
  • Analyze problems and concerns to make effective decisions that provide positive solutions.
  • Make recommendations for process improvements and efficiencies for the department.
  • Responsible for recruiting and hiring, coaching and mentoring, monitoring and evaluation, and addressing all disciplinary issues in a timely manner.
  • Encourage staff in creating and maintaining a work environment with high morale and employee satisfaction through support of professional development, training, career growth, and rewarding high performance.
  • Serves as a liaison for internal and external customers.
  • Ensures the timely and accurate resolution of any issues and/or provides necessary training to staff as needed or requested.

FAQs

What are the primary responsibilities of the Claims Customer Service Supervisor?

The primary responsibilities include supervising a team for claims and customer service, ensuring prompt and accurate resolution of claims and inquiries, coordinating with other areas to maintain customer relations, analyzing problems for effective solutions, and managing team performance and development.

What are the working hours for this position?

This position is full-time, Monday to Friday, with an 8-hour shift scheduled from 8:00 AM to 5:00 PM.

Is the training for this role on-site or remote?

The training for this role is conducted on-site, Monday to Friday from 8:00 AM to 5:00 PM for approximately 6-8 weeks.

What qualifications are required for this position?

A bachelor's degree or equivalent work experience (4 years in a related field or 2 years with an associate's degree), along with 2 years of claims, appeals, customer service, or call center experience, is required.

Are there any specific residency requirements for this position?

Yes, certain divisions within the company require CMS residency, which means employees must have lived in the U.S. for at least three out of the last five years.

What type of benefits does the company offer?

The company offers a comprehensive benefits package, including a 401(k) retirement plan, subsidized health plans, life insurance, paid annual leave, paid holidays, and tuition assistance among other benefits.

Is previous leadership experience preferred for this role?

Yes, the role prefers candidates with 2 or more years of leadership experience, including developing work procedures and leading group projects.

What skills are important for success in this position?

Important skills include strong analytical and organizational abilities, excellent customer service and communication skills, leadership capabilities, and proficiency in Microsoft Office.

Where is the job location?

The job is located on-site at 26 Century Blvd Suite ST610, Nashville, TN 37214.

Does the company offer accommodations for individuals with disabilities?

Yes, the company is committed to providing reasonable accommodations for individuals with disabilities and other specific needs, as long as these do not impose an undue hardship on the company.

How can I apply for this position?

You can apply for this position by submitting your application as instructed in the job posting, after which the recruiting team will review your resume for qualification verification.

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BlueCross BlueShield of South Carolina

South Carolina’s largest and oldest health insurance company

Finance
Industry
10,001+
Employees
1946
Founded Year

Mission & Purpose

BlueCross BlueShield of South Carolina, the state's largest insurance company, has been a part of the national landscape for over six decades. With an A+ Superior rating from A.M. Best, the company is a leading government contract administrator and operates one of the most advanced data processing centers in the Southeast. BlueCross offers employees robust benefits, including retirement plans, health coverage, and education assistance, while fostering a culture of community support, with employees actively contributing to numerous nonprofit organizations each year.