Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, 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 that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!

• Perform routine quality audits, reviews, or monitoring across various operations functions to ensure quality standards, procedures, and methodologies are being followed.
• Recognize and document any potential fraud and abuse situations. May provide one on one guidance to new hires upon completion of initial training.
• Provide necessary feedback or coaching to operations and training areas on errors assessed so that additional training can be initiated as needed. Compile data and generate reports for operations areas on quality performance.
• Identify areas of weakness and communicate recommendations on changes and improvements to training materials. Document findings of analysis and prepare recommendations for implementation of new systems, procedures or organizational changes.
• Assist with training documentation and development of new processes and procedures. Remain current with all guidelines, work instructions, etc.

• A High School Diploma or equivalent.
• One year of related claims processing, customer service, auditing, training, analysis or operations experience.
• Good analytical, customer service, and organization skills.
• Basic business math proficiency.
• The ability to document problems and assist in their resolution.
• The ability to document processes and identify areas for improvement.
• Effective written and verbal communication skills.
• Knowledge of Microsoft Office applications.

• One year of experience in a healthcare or insurance industry.

• 401(k) retirement savings plan with company match.
• Subsidized health plans and free vision coverage.
• Life insurance.
• Paid annual leave — the longer you work here, the more you earn.
• Nine paid holidays.
• On-site cafeterias and fitness centers in major locations.
• Wellness programs and a healthy lifestyle premium discount.
• Tuition assistance.
• Service recognition.