BlueCross BlueShield of South Carolina · 16 hours ago
Senior Manager of Priority Provider Services
Columbia, SC
Full-time
Onsite
Mid, Senior Level
3+ years expBlueCross BlueShield of South Carolina is seeking a Senior Manager of Priority Provider Services to manage claims and customer service areas. The role involves overseeing staff, ensuring department standards are met, and maintaining effective relationships with internal and external customers.
Financial ServicesHealth CareHealth InsuranceInsuranceMedical
Responsibilities
Manage staff responsible for providing excellent customer service and timely and accurate processing of claims or appeals
Ensures department standards for production, timeliness, and quality are met
Prepares and reviews management reports
Monitors monthly reports to ensure department standards for production, timeliness, and quality are met
Makes recommendations for process improvements
Maintain effective relationships with internal and external customers by assisting with inquiries and resolving issues
Qualification
Required
Required Education: Bachelor's
Degree Equivalency: 4 years job related work experience or Associate's and 2 years job related work experience (Equivalency not applicable for the Celerian Group. Bachelor's degree required.)
Required Experience: 3 years of insurance experience in claims or appeals processing and customer service. 1 year of supervisory/team lead experience OR 1 year of equivalent military experience in grade E4 of above
Required Skills and Abilities: Strong oral and written communication and organizational skills
Required Skills and Abilities: Excellent customer service skills
Required Skills and Abilities: Good judgment
Required Skills and Abilities: Ability to persuade, negotiate, or influence
Required Skills and Abilities: Proficient spelling, punctuation, and grammar
Required Software and Tools: Microsoft Office
Preferred
Preferred Education: Bachelor's degree
Preferred Work Experience: 5 years-of insurance experience in claims processing and customer service. 2 years-of supervisory/team lead experience OR 2 years of equivalent military experience in grade E4 or above (may be concurrent). Claims processing within the last 3-5 years
Preferred Skills and Abilities: Demonstrated project management and presentation skills
Preferred Skills and Abilities: Basic business math skills
Preferred Skills and Abilities: Extensive knowledge of insurance law
Preferred Software and Other Tools: Knowledge of medical management and membership systems
Preferred Licenses and Certificates: Fellow of the Life Management Institute or equivalent
Benefits
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
Company
BlueCross BlueShield of South Carolina
For more than six decades, BlueCross BlueShield of South Carolina has been part of the national landscape. Our roots are firmly embedded in the state.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
April Richardson
Vice President and Chief Operating Officer of Companion Benefit Alternative
Alli McGary
Talent Acquisition Partner
Recent News
2025-09-13
UPSTATE BUSINESS JOURNAL
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