Analyst, Senior Recovery

Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! 

• Identifies claims applicable for Excess Policy (Reinsurance) and SC Second Injury Fund (SIF) reimbursement and secures supporting documentation for submission. Reviews and analyses identified claims, associated medical reports and claims financial data. Is familiar with all reporting requirements and completes all mandated reporting forms. Prepares the claims for presentation as needed to clients, excess carriers and SIF.

• Using advanced subject matter expertise; coordinates with Claims Adjusters to identify all claims with potential recovery from reinsurance and SIF.

• Documents activities, case action plans, recovery outcomes and maintains an active diary on the claims.

• Assists and provides training and guidance to the claims staff on an as needed basis.

• Assists management with special projects or other duties as required.

• Bachelor's
  

• 4 years job related work experience or Associate's and 2 years job related work experience

• 4 years of area related adjusting experience.

• Strong verbal and written communication skills.

• Strong interpersonal skills.

Required Software and Tools:

• Microsoft Office.

• Valid adjuster's license in required states or ability to acquire within 6 months-if required by resident state's department of insurance.

• Prior workers compensation experience.

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.

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.

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.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.

Some states have required notifications. Here's more information.