Claims Adjuster

Are you a detail-oriented problem-solver who loves to help people? If so, you may be the perfect candidate for the Claims Adjuster position at BlueCross BlueShield of South Carolina. In this role, you will use your expertise to assess and evaluate claims, investigate issues, and ensure clients receive the best possible service. To be successful in this position, you will need to possess excellent communication skills, be a fast learner, and have a strong understanding of insurance and healthcare. If you think you have what it takes to excel in this role, please read on for more details.

Responsibilities:

1. Assess and evaluate claims to ensure accurate and timely processing.
2. Investigate issues and disputes related to claims and provide solutions.
3. Maintain detailed records of claim information and related documents.
4. Communicate with clients and other stakeholders to answer questions and resolve issues.
5. Review and evaluate policy documentation to ensure compliance with regulations and best practices.
6. Make decisions regarding claim payments based on company policy and procedures.
7. Develop strategy to reduce costs and ensure service excellence.
8. Utilize knowledge of insurance and healthcare to provide sound advice and guidance.
9. Stay up-to-date on changes in policies and procedures.
10. Provide exceptional customer service to promote customer satisfaction.

According to JobzMall, the average salary range for a Claims Adjuster in Goose Creek, SC, USA is between $36,000 and $60,000 per year. This range is based on the salaries of those who have posted their resumes on the JobzMall website.

BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association. BlueCross serves 21.5 million people through private business and government contracts.