16 to 30 of 65
Coordinate with relevant areas to ensure customers (agents, group administrators, members, etc.) receive outstanding customer service and to ultimately retain customer base. Address issues as they are identified. Resolve and communicate results, concerns and/or problems to management. Description 35% Provide comprehensive service to all assigned groups in a professional manner. Respond to intern
Posted 2 days ago
Conducts primary/secondary market research and competitor analysis used to develop new and/or enhanced health plan products/benefits while filing benefits with federal and state agencies . Provides information in concise/well written reports and advanced level Excel spreadsheets to assist in strategic/marketing plan used for product/benefit development. Implements and manages after launch major pr
Posted 2 days ago
Responsible for the coordination and completion of the audit reviews, reviewing audit work papers and reports completed by department staff, distributing reports to management, coordinating auditor's assignments, mentoring and coaching department staff, and assisting the department manager with the direction of the workflow of various risk management activities and special projects. Description
Posted 2 days ago
Provides prompt, accurate, thorough and courteous responses to all complex customer inquiries. Inquiries are typically non routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates complex or specialty claims and/or non medical appeals. Determines whether to return, deny or pay claims following organizati
Posted 2 days ago
Provides operational oversight and drives the strategic direction for any or all of the ITIL functional of Service Management activities. Possibly including, but not limited to Incident Management, Problem Management, Release Management, Change Management, Configuration Management and Recovery Management. Accomplished by utilizing strong leadership skills ensuring effective and cost efficient best
Posted 2 days ago
Responsible and accountable for all activities in a LOB program management office (PMO) assigned to their team. Provides overall direction to the PMO and all projects within its domain. Responsible for planning, coordinating, monitoring, and oversight in the implementation of multiple IT projects. Oversees and provides guidance to the personnel responsible for the organization's portfolio of proje
Posted 2 days ago
Responsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Part time 3 00 pm to 8 00 pm Monday through Thursday. Description Part time hours Monday thoughThursday 3 00 pm to 8 00 pm 60% Researches and responds to telephone inquiries according to d
Posted 3 days ago
PART TIME in Columbia, SC Intern position utilized for training an active college student towards a professional level role. Responsibilities vary and are based upon the needs of the area and the experience of the incumbent at the time of employment. This incumbent works under direct supervision and has responsibilities for performing entry level tasks and for learning professional level tasks rel
Posted 3 days ago
PART TIME Located in Columbia, SC Intern position utilized for training an active college student towards a professional level role. Responsibilities vary and are based upon the needs of the area and the experience of the incumbent at the time of employment. This incumbent works under direct supervision and has responsibilities for performing entry level tasks and for learning professional level t
Posted 3 days ago
Audit and authorize reimbursement of specific medical stop loss claims. Effectively mitigate client medical stop loss claims and provide excellent customer service. Description 35% Analyze and adjudicate stop loss claims and request appropriate reimbursement from carrier. Recognize cost mitigation opportunities. Authorize and release stop loss claims reimbursement checks at or below pre set auth
Posted 3 days ago
Responsible for training activities in an assigned area(s). Note some areas may require varying degrees of emphasis or concentration within this general description. Description 70% Follows project methodology to design, develop and implement trainings to include facilitating technical and non technical training from beginning to end. Responsible for revising, and updating training courses, curr
Posted 3 days ago
Develops difficult statistical analysis using standard reporting, AD HOC reporting, and data mining tools in order to identify patterns and trends. Prepares charts, illustrations, and other graphics and narrative reports to identify and explain data findings. Description 30% Develops, maintains, and executes complex database programs for the extraction and presentation of data for standard and a
Posted 3 days ago
Oversees an area responsible for claims, appeals, and/or customer service to ensure departmental performance guarantees are met. Description 60% Ensure prompt and accurate settlement of claims, appeals, and/or customer service inquiries. Coordinates with other areas while establishing and maintaining excellent customer relations. 30% Analyze problems and concerns to make effective decisions that
Posted 3 days ago
BlueCross BlueShield of South Carolina
- Birmingham, AL / Jackson, MI / Virginia Beach, VA / 5 more...
Responsible for the sales, service, and administrative activities and relationship management to prospective and existing accounts. Customarily and regularly engaged in outside sales. Description 50% Responsible for renewal and management of existing accounts. Maintains strong service relationships with clients and agents. Researches/compiles presentations and sales materials as needed. Coordina
Posted 3 days ago
This position will require to work year round in Birmingham, AL, which includes summer and academic school year. Intern position utilized for training an active college student towards a professional level role. Responsibilities vary and are based upon the needs of the area and the experience of the incumbent at the time of employment. This incumbent works under direct supervision and has responsi
Posted 3 days ago
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