Claims Adjuster

We are looking for a Claims Adjuster to join the BlueCross BlueShield of South Carolina team. This role requires a highly organized individual with a passion for customer service and a commitment to providing exceptional service to policyholders. Our ideal candidate will have excellent communication skills, a strong attention to detail, and the ability to work independently with minimal supervision. The Claims Adjuster should be comfortable working in a fast-paced, deadline-driven environment and working with confidential information. If this sounds like you, read on to learn more about the position and how to apply.

Responsibilities:

1. Receive and review incoming claims for accuracy and completeness.
2. Investigate and analyze claims to determine coverage and liability.
3. Negotiate settlements with claimants and/or attorneys.
4. Prepare and submit claims reports to management.
5. Ensure compliance with all applicable state and federal laws and regulations.
6. Identify fraud and abuse in the claims process.
7. Maintain customer service standards and ensure customer satisfaction.
8. Maintain detailed records of claims activities.
9. Respond to customer inquiries and complaints in a timely and professional manner.
10. Process claims payments in a timely and accurate manner.

According to JobzMall, the average salary range for a Claims Adjuster in Spartanburg, SC, USA is between $44,000 and $72,000 per year. This range can vary depending on the experience of the Claims Adjuster and the company they are working for.

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.