Director, Claims Customer Service in Greenville, SC

$200K - $250K(Ladders Estimates)

BlueCross BlueShield of South Carolina   •  

Greenville, SC 29601

Industry: Finance & Insurance

  •  

8 - 10 years

Posted 52 days ago

Summary

Provides direction and guidance to customer service, claims processing, and/or appeals staff for multiple operational areas.


Description

•50% Directs customer service, claims processing, and/or appeals staff in ensuring prompt and accurate processing of items and inquiries. Develops and supports strategic initiatives to enhance provider and customer satisfaction.

•20% Works closely with areas to track performance and develop measures of success. Implements process improvements.

•10% Identifies system limitations and serves as project leader on system enhancements and updates.

•10% Leads and supports achievement of departmental, divisional, and corporate strategic objectives. Collaborates with other functional areas to resolve multifunctional issues. Provides necessary assistance and resources when necessary.

•10% Develops and monitors budget and resources for all assigned areas. Responsible for the selection, training, and development of staff. Ensures excellent customer service is given to employees, customers, management, etc.

Required Education:

  • Bachelor's degree or four years of healthcare experience in customer service, provider network service, membership, billing, and/or claims/appeals processing operations (Equivalency not applicable for the Celerian Group. Bachelor's degree required.)

Required Work Experience:

  • Seven years of healthcare program or customer service experience to include budget management experience including three years of management/supervisory experience OR three years of equivalent military experience in grade E4 or above (may be concurrent).

Required Skills and Abilities:

  • Strong organizational, analytical, presentation, and customer service skills.
  • Strong oral and written communication skills.
  • Ability to persuade, negotiate or influence.
  • Ability to handle confidential or sensitive information with discretion.
  • Proficient spelling, punctuation, grammar, and basic business math.

Required Software and Tools:

  • Microsoft Office.


Valid Through: 2019-10-17