Claims Team Lead Functions as the team lead and subject-matter expert for a claims area. Responsible for creating reports, distributing workload, and training new employees. Logistics: Palmetto GBA one of BlueCross BlueShield's South Carolina subsidiary companies. Location: This position is full-time (40 hours/week) Monday-Friday from 8:00am-4:30pm. This role is located on-site at 17 Technology Circle, Columbia, SC 29203. This role has the potential to transition to remote work, based on performance and business needs. What You'll Do: Responds accurately and timely to inquiries from team members, including management, concerning claims processing and other technical issues. Investigates and initiates resolutions to complex claims problems. Trains and assists new employees and unit personnel to ensure consistent application of established guidelines. Identifies issues with procedures and processes and provides feedback to management on changes and development. Serves as liaison with other departments to address claim, system, and quality issues. May perform some testing functions and attend/participate in meetings as needed. To Qualify for This Position, You'll Need the Following: Required Education: High School Diploma or equivalent Required Work Experience: 4 years of experience processing, researching, and adjudicating claims. Required Skills and Abilities: Strong organizational, analytical, and problem-solving skills. Strong verbal and written communication skills. Strong interpersonal and time-management skills. Strong spelling, punctuation, and grammar skills. Basic business math proficiency. Ability to handle confidential or sensitive information with discretion. Required Software and Tools: Microsoft Office. We Prefer That You Have the Following: Preferred Work Experience: Medicare Part B experience. Preferred Skills and Abilities: Knowledge of mathematical or statistical concepts. Ability to persuade, negotiate or influence. Preferred Software and Other Tools: Proficient in database software. Our Comprehensive Benefits Package Includes the Following: 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 What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers, and contribute their unique abilities to the growth of our company. What To Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Equal Employment Opportunity Statement: BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state, and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.