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Senior Recovery Analyst
BlueCross BlueShield of South Carolina. Identifies claims applicable for Excess Policy (Reinsurance) and SC Second Injury Fund (SIF) reimbursement .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in claims analysis and reimbursement processes, with a strong focus on Excess Policy and Second Injury Fund claims. Proficient in documentation, reporting, and collaboration with claims adjusters to optimize recovery outcomes.
Highest-signal resume keywords
Claims AnalysisReimbursement ProcessesAdjusting ExperienceCommunication SkillsAdjuster's License
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 ReviewFinancial Data AnalysisDocumentationReporting Forms CompletionCase Action Plans
Soft Skills
Interpersonal SkillsVerbal CommunicationWritten CommunicationTraining and Guidance
Tools & Technologies
Microsoft Office
Certifications & Qualifications
Adjuster's License
Industry Keywords
Excess PolicyReinsuranceSecond Injury FundWorkers Compensation
About the role
Key responsibilities & impact- Identifies claims applicable for Excess Policy (Reinsurance) and SC Second Injury Fund (SIF) reimbursement
- Secures supporting documentation for reimbursement submissions
- Reviews and analyzes identified claims, associated medical reports, and claims financial data
- Completes mandated reporting forms and all required reporting
- Prepares claims for presentation to clients, excess carriers, and SIF
- Coordinates with Claims Adjusters to identify claims with potential recovery from reinsurance and SIF
- Documents activities, case action plans, and recovery outcomes
- Maintains an active diary on claims
- Assists with training and guidance for claims staff
- Assists management with special projects and other duties as required
Requirements
What you’ll need- Bachelor's degree, or 4 years job related work experience, or Associate's and 2 years job related work experience
- 4 years of area related adjusting experience
- Strong verbal and written communication skills
- Strong interpersonal skills
- Microsoft Office
- Valid adjuster's license in required states or ability to acquire within 6 months if required by resident state's department of insurance
- Prior workers compensation experience preferred
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