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Lead Claims Clerk
BlueCross BlueShield of South Carolina. Assist management in planning, coordinating, and assigning work across staff .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in claims processing, including screening, coding, and error resolution, while maintaining confidentiality and attention to detail. Proficient in Microsoft Office and capable of training staff in proper processing methods.
Highest-signal resume keywords
Claims ProcessingData Entry ExperienceMicrosoft Office ProficiencyAttention to DetailCustomer Service Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims CodingClaims AdjudicationData EntryError ResolutionTyping Speed of 5000 KSPHNumeric Keypad Proficiency
Soft Skills
Organizational SkillsJudgmentDiscretionFlexibility
Tools & Technologies
Claims Editing SoftwareWord Processing SoftwareSpreadsheet ApplicationsDatabase Software
Industry Keywords
Claims OperationsConfidential Information Handling
About the role
Key responsibilities & impact- Assist management in planning, coordinating, and assigning work across staff
- Train new staff and assist staff with proper processing methods
- Assemble and distribute electronic and hard copy claims to support staff
- Screen, code, and key claims to ensure proper and accurate adjudication
- Process edits and resolve errors through claims editing software
- Collect, sort, and deliver completed claims to the appropriate area
- Document errors and other important information throughout claims processing
- Assist support staff with questions throughout processing
- Work Monday-Friday, 8:00 AM to 5:00 PM, 40 hours per week
Requirements
What you’ll need- High School Diploma or equivalent
- 4 years of experience in a claims operations environment, including data entry experience
- Organizational, judgment, and customer service skills
- Ability to handle confidential or sensitive information with discretion
- Flexibility to perform multiple functions
- Strong judgment and attention to detail
- Proficient spelling, punctuation, and grammar
- Microsoft Office proficiency
- Ability to type a minimum of 5000 KSPH
- Proficient with numeric keypad
- Position is not eligible for sponsorship now or in the future
- Preferred: Intermediate proficiency in word processing, spreadsheet applications, and database software
Benefits
Comp & perks- 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
- Education Assistance
- Service Recognition
- National discounts to movies, theaters, zoos, theme parks and more