Claims Auditor

Are you looking for an opportunity to apply your knowledge of claims auditing to help provide quality assurance to one of South Carolina's leading health insurance companies? BlueCross BlueShield of South Carolina is seeking an experienced Claims Auditor to join our team. In this role, you'll use your expertise to audit claims and ensure accuracy in our claims processes.The right person for the role will bring an eye for detail, excellent problem-solving skills, and a passion for accuracy and compliance. If you have a knack for understanding the complexities of claims auditing and a deep commitment to quality assurance, then we want to hear from you. To be successful in this role, you should have:• A Bachelor's degree in accounting, finance, healthcare administration, or a related field• At least 3 years of experience in claims auditing• Strong analytical and problem-solving skills• Excellent attention to detail• Proficiency in Microsoft Office Suite and other relevant software• Excellent verbal and written communication skills• The ability to work independently and as part of a team• A commitment to quality assurance and accuracyIf you have the skills and experience to excel in this role, we'd love to hear from you!

Responsibilities: • Audit claims for accuracy and compliance • Analyze complex claims data to identify potential issues and discrepancies • Provide feedback and suggest improvements to existing claims processes • Ensure accuracy of claims data and accuracy of claims payments • Maintain accurate and up-to-date records of claims audits • Develop and implement strategies to improve claims auditing processes • Work closely with other departments to ensure accuracy of claims data • Ensure compliance with state and federal regulations • Identify and report any non-compliance issues to the appropriate parties • Provide technical advice and support to other departments

According to JobzMall, the average salary range for a Claims Auditor in North Charleston, SC, USA is $33,000 to $64,000 per year. This range is based on salary data from employers who have posted job listings on the JobzMall website. Salaries may vary depending on experience, qualifications, and other factors.

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.