IT/Technology

ABA Behavior Technician / RBT preferred Center-based 1370 Browning Road, #100, Columbia, 29210 M-F full-time and part-time hours Butterfly Effects' Mission is to make a socially meaningful change in the lives of children and families by hiring passionate, caring people to serve children and families affected by autism. We are looking for passionate ABA Behavior Technicians to teach young children affected by autism. If you have you RBT, even better, but if not, we will help you get it. This isn't just another place to work, it's a welcoming environment with a leadership team that champions every individual to achieve their potential. We want you to enjoy coming to work, so we dedicate ourselves to making our teams feel valued, respected, and heard. Why Work at Butterfly Effects? Build a rewarding and valued career with education and training support. We will give you the opportunity to grow towards gaining your Registered Behavior Technician (RBT) and then Board Certified Behavior Analyst (BCBA) with guidance and financial assistance Children and families are at the heart of our work, and we take care of the people who make all the difference - People like You! Part-time opportunity to make a full-time impact in a child's life! Bring calm, protection, and happiness to families and children affected by autism What would you be doing? Our treatment involves working directly with the child and the family in their natural environment (most often their home but also in schools and our centers), to teach them how to communicate, share, play, wait, and other essential skills. BE's Behavior Technician / Child Interventionist makes the session fun by teaching through play-based activities. We offer training to all staff, so they feel confident in the skills required to instruct children affected by autism. The best fit for this role is someone very outgoing, energetic, and friendly. What do you bring to the role? Minimum of High School diploma. College course work a plus A love and Passion for working with children Interest in learning Valid driver's license & personal vehicle Web Enabled Device (laptop or tablet) Positive attitude and strong people skills to work with children and families Compensation: We believe in fair and competitive compensation. As such, we provide benefits outside of your hourly rate to give you the support and energy you need to bring your best self to your role. $19.00 - $27.00 per hour based on experience, education, and certifications Benefits: Our team members may be eligible for the following benefits: In-house training program and coursework with Competency Check to obtain the Registered Behavior Technician (RBT) certification Drive-time pay between sessions Tuition Assistance Supervision towards BCBA credential available Physical Demands: Working with clients in their natural environments may require you to lift or move approximately 50 lbs. and be able to assume and maintain a variety of postures (kneeling, squatting, sitting, standing) for extended periods of time. Who are we? Butterfly Effects has served more than 10,000 families since our inception in 2005. We have a long history of improving the lives of children and families affected by autism spectrum disorder through our family-centric applied behavior analysis (ABA) approach. Our mission is to deliver ABA treatment in partnership with families affected by autism to foster a more joyous life. A national leader in autism treatment, Butterfly Effects employs more than 100 board-certified behavior analysts (BCBA) and 800 behavior technicians. The 12 states we serve are locally managed by a regional director and team of BCBAs. Our corporate office located in Deerfield Beach, Florida is home to our leadership team and administrative staff who assist with daily operations, including client services, human resources, talent acquisition, finance, revenue cycle management, quality assurance, compliance, professional development, and professional ethics. Our butterfly logo was chosen as a symbol of love, rebirth, and metamorphosis. Together, the name and logo represent our common purpose and deep commitment to helping families create lasting change through individualized ABA therapy. For more information, please visit www.butterflyeffects.com. #INDSC

Who We Are: NFP, an Aon company, is a multiple Best Places to Work award winner in Business Insurance. We are an organization of consultative advisors and problem solvers. We help companies and individuals around the globe address their most significant risk, workforce, wealth management and retirement challenges through custom solutions and a people-first approach. To learn more, please visit: https://www.NFP.com. The Role at NFP Summary: The Account Coordinator – Processing is a support role, requiring the Processor to assist the account teams by providing basic administrative and support functions in the team’s day-to-day servicing of clients. While in this role, the Processor is beginning to have client contact, via more senior team members. They may join meetings and client calls but will be responsible for listening, taking notes and providing follow-up to the team. In this role, the Processor will begin to learn the functions of the Account Manager, most specifically begin to get exposure to the RFP process and continue to expand upon their industry knowledge through special projects as directed by senior team members. We offer the flexibility of a hybrid schedule from our Onancock, VA office, and are open to a fully remote hire (any US city) for candidates with demonstrated P&C insurance experience. The required work schedule is Monday-Friday from 8:00am - 5:00pm EST (regardless of residential time zone). This is a great opportunity to build foundational knowledge in the insurance industry while working in a collaborative team environment and receiving mentorship and guidance to grow your career. Essential Duties and Responsibilities: Provide quality control after Account Managers service customers as a result of writing policies, making changes, etc. Maintains electronic suspense file in Epic as part of daily work management. Will assist on various projects as needed and assigned by Department Manager Mail processing. Develops, maintains, and demonstrates working knowledge with our numerous carriers including their websites. Performs policy checking. Creates and maintains client files in the agency management system in accordance with office workflow and procedures. Work with other departments to ensure data integrity. Experience and Qualifications: Ideal candidates will have 2+ years of administration/ops and customer service experience. Experience in P&C insurance, especially Personal Lines coverage is highly desired. HS Diploma or GED required: additional education/training preferred. Experience in insurance and EPIC software is desired. Proficiency in Outlook, Word and Excel Good written and verbal communication skills Self-confident to make sound independent decisions. Ability to successfully interact with a variety of stakeholders. Team player, adaptive to mentoring and continual learning Solid analytical and problem-solving skills Strong emphasis on attention to detail Strong priority management skills Certificates, Licenses, Registration: P&C License is not required upon hire but may be required within six months of hire. What We Offer: We're proud to offer a competitive salary, PTO & paid holidays, 401(k) with match, exclusive discount programs, health & wellness programs, and more. Our PeopleFirst culture focuses on building and nurturing lifelong relationships with our employees because, at the end of the day, we exist to be there for others. The base salary range for this position is $31,000 – $48,000. The base salary offered will be determined by factors including, but not limited to, experience, credentials, education, certifications, skill level required for the position, the scope of the position, and geographic location. Actual base salary offered will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives. NFP and You... Better Together! NFP is an inclusive Equal Employment Opportunity employer.

Job Description: About AML RightSource & Blue Umbrella We are AML RightSource, the leading technology-enabled managed services firm focused on fighting financial crime for our clients and the world. Headquartered in Cleveland, Ohio, and operating across the globe, we are a trusted partner to our financial institution, FinTech, money service business, and corporate clients. Using a blend of highly trained anti-financial crime professionals, cutting-edge technology tools, and industry-leading consultants, we help clients with their AML/BSA, transaction monitoring, client onboarding (KYC), enhanced due diligence (EDD), and risk management needs. We support clients in meeting day-to-day compliance tasks, urgent projects, and strategic changes. Globally, our staff of more than 7,000 highly trained analysts and subject matter experts is the industry's largest group of full-time compliance professionals. Together with our clients, we are Reimagining Compliance. Blue Umbrella is a technology enabled services company, providing innovative third-party compliance technologies and due diligence research content. Combining global research excellence with disruptive RegTech SaaS solutions, Blue Umbrella assists Fortune 1000 companies across all industry verticals to manage a spectrum of legal and reputational risk including anti-bribery and corruption, fraud, anti-competitive behaviour, serious crime, ESG, IP and data privacy etc. With a global presence and local focus, Blue Umbrella helps compliance teams increase automation and efficiency, reduce costs, and gain critical understanding of their clients and third parties. In June 2021, Blue Umbrella was acquired by AML RightSource, a leading professional services firm who specialize in Anti-Money Laundering, Bank Secrecy Act (BSA) and financial crime compliance solutions. Summary The Director of Business Development is an individual contributor who drives revenue growth through new business sales. The ideal candidate requires proven experience in selling SaaS or technology related products or services, brings a ‘solution’ selling approach, high energy, attention to detail and exceptional communication and presentation skills. The successful applicant will be based in the U.S. and will: Execute the sales strategy and fully support the company’s business goals. Develop an expert knowledge of the Blue Umbrella products and services. Develop and maintain relationships with new and existing clients within a defined territory. Effectively manage full sales cycle including researching/identifying new business opportunities/timely management of leads, management of discovery calls, product demonstrations/presentations and negotiation of contracts. Effectively utilize CRM including documentation of activities and territory forecasting. Contribute to the overall team success by sharing best practices and working closely with Marketing, Products, and other internal partners to offer creative solutions. Required Qualifications 5+ years of sales management experience in SaaS/B2B solutions and tech-enabled services businesses, preferably in the compliance/risk management industry. Experience working with C-level executives and/or multiple stakeholders on sophisticated compliance programmes. Experience utilizing CRM and metrics to drive strategy and inform decision making. Experience managing responses to Requests for Proposals. Ability to understand a potential clients’ pain points through effective questioning and listening and tailor appropriate solutions. Exceptional time management skills. International perspective. Thinks globally and works well with individuals from around the world. Preferred Qualifications Two or more years of relevant third-party risk and due diligence-related experience. Salary Details The salary for this role is - $165,000.00 AML RightSource is committed to fostering a diverse work environment and is proud to be an equal opportunity employer. We provide equal employment opportunities to all qualified applicants without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

Summary Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Performs research as needed to resolve inquiries. Description Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM-8:00PM. This role is located at 4101 Percival Road, Columbia, SC 29229. What You’ll Do: Ensures effective customer relations by responding accurately, timely and courteously to telephone, written, web, or walk-in inquiries. Accurately documents inquiries. Initiates or processes adjustments or performs other research as needed to resolve inquiries. Coordinates with other departments to resolve problems. Responds to, researches, and/or assists with priority inquiries and special projects as required by management. Provides feedback to management regarding customer problems, questions and needs. Maintains accurate records on complaints and/or other customer comments, and makes recommendations for changes to management. Follows through on complaints until resolved or reports to management as needed. Maintains basic knowledge of quality work instructions and company policies. Assists with process improvements through the recommendation of changes in procedures and techniques discovered during daily operations. Maintains all departmental productivity, quality, and timeliness standards. Identifies and promptly reports and/or refers suspected fraudulent activities and system errors to the appropriate departments. To Qualify for This Position, You'll Need the Following: Required Education: High School Diploma or equivalent. Required Software and Tools: Basic computer operating skills. Ability to operate standard office equipment. Required Skills and Abilities: Excellent verbal and written communication skills. Strong human relations and organizational skills. Ability to handle high stress situations. Good judgment skills. Strong customer service skills. Ability to learn and operate multiple computer systems effectively and efficiently. We Prefer That You Have the Following: Preferred Education : Associate Degree Preferred Work Experience: 2 years-of customer service or call center experience. Preferred Software and Other Tools: Knowledge of word processing, spreadsheet, and database software. Our Comprehensive Benefits Package Includes the Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. 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. 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 .

Summary Responsible for daily workflow activities to include the following membership/enrollment activities: processing of applications for new enrollments, terminations/cancellations, changes, renewals, and database updates. Description To Qualify for This Position, You'll Need: Receives and logs subscriber and member enrollment applications to the system. Processes/keys applications including new enrollments, terminations/cancellations, changes, and renewals and updates all electronic enrollment files. Works edit/error reports generated from membership transactions. Works with multiple operational areas to ensure relevant/appropriate group structure, status, benefits, and/or billing. May prepare and issue contracts, benefit books, and standard/custom ID cards. Responds to and resolves customer inquiries. Contacts plan administrators and internal and external customers to resolve issues/problems. Participates in special projects as assigned related to enrollment, billing and reconciliations. To Qualify for This Position, You'll Need: High School Diploma or equivalent. Ability to acquire knowledge of the membership system. Working knowledge of word processing and spreadsheet software. Good judgment. Effective customer service and organizational skills. Demonstrated verbal and written communication skills. Basic business math proficiency. Analytical or critical thinking skills. Ability to handle confidential or sensitive information with discretion. Microsoft Office Product experience and hands on knowledge. Office technology or secretarial science. 1 year-of customer service, administrative/clerical support, and/or membership/billing/accounts experience. Travel between office buildings and moving/carrying of boxes/materials as needed. We Prefer You to Have: Working knowledge of database software. Computer systems support knowledge. Knowledge of booklet ID card preparation, underwriting enrollment regulations, contract formats. Knowledge of state and federal laws related to private business types of insurance. Knowledge of standard benefit structures. Working knowledge of Microsoft access. What Blue Can Do for You: We understand the value of a diverse and inclusive workplace. We strive to be an employer across all spectrums where employees can develop their skills, advance their careers, and contribute their unique abilities to the growth of our company. Our comprehensive benefits package includes : 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 Wellness program and healthy lifestyle premium discount Tuition assistance Service recognition Employee Assistance Discounts to movies, theaters, zoos, theme parks and more 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. Management will be conducting interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Some states have required notifications. Here's more information. 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 minorities, females, disabled individuals, and 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 physical and mental disabilities. If you need special assistance or an accommodation while seeking employment, please e-mail mycareer.help@bcbssc.com or call 1-800-288-2227, ext. 47480 with the nature of your request. We will decide regarding your request for reasonable accommodation on a case-by-case basis. 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. 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 .

Summary Description 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! Position Purpose: This position is not a typical BlueCross and BlueShield of SC Accountant position. It is the lead role on a Billing team, which bills groups and posts payments for large groups, adjunct products (FSA/HRA/HSA/ICHRA) and associations. As such the employee will do the following tasks. Group Information Library (GIL) Coordination – ensure that Group Library tasks are reviewed and assigned and ensure that they are resolved timely and accurately. Ensure that invoices are billed and cash is posted timely and accurately, assisting team members as necessary. Ensure that internal and external inquiries are resolved timely and accurately, assisting team members as necessary. Complete association account reconciliations and the related subgroup level analysis. Review and approve payment templates and adjustments keyed by team members. Ensure that external invoicing is completed timely and accurately, assisting team members as necessary. Provide training to less experienced team members. Participate in project testing if necessary. Suggest and/or implement process improvements based on understanding of area functions. Complete all other duties as assigned. Logistics: National Alliance- one of BlueCross and BlueShield of South Carolina subsidiary companies. Location: This is a full-time position working (40-hours/week) Monday-Friday 8:00am – 5:00pm working on-site at 4101 Percival Rd. Columbia SC, in an office environment. May have the option to work from home after a 90 day training period. What You’ll Do: Prepares daily and/or monthly account reconciliations of a complex nature. Ensures work conforms to all contract/business regulations and/or instructions as well as generally accepted accounting principles, federal acquisition regulations, cost accounting standards and/or departmental policies. Maintains the General Ledger, processes the journal entries and/or generates the financial reports. Reviews, analyzes, and/or verifies complex accounting and/or system transactions. Identifies resolves and/or documents variances, and/or provides accounting information to operational areas to help them identify and/or resolve problems. Supports the month end, quarter end and/or year end close activities in accordance with internal procedures and/or established timelines. Completes assigned reports in accordance with established due dates and/or produces management reports for cost behavior, trends, variances, and/or other pertinent information applicable to the given line of business. Reconciles General Ledger accounts and/or processes adjusting entries in accordance with internal procedures, maintaining compliance with applicable regulations. Reviews and/or provides support to related account reconciliation activities performed in other accounting areas (subsidiary ledgers). May maintain current work instructions for all activities in the area. Reviews all departmental policies, procedures, and/or forms used by the department to identify areas of potential improvement in those documents. Suggests updates and/or improvements in those documents or prepare a preliminary draft of the policies including the updates or improvements as necessary. Assists Supervisor with special projects. Interfaces with internal and/or external audit agencies. Provides guidance and/or training to other accountants. Consults with other areas and/or gives advice on complex accounting principles. To Qualify for This Position, You’ll Need The Following: Bachelor's degree in Accounting or related degree with 24 semester hours in accounting. (Anyone hired prior to August 1, 2008, in an accounting position only requires 21 semester hours of accounting.) Five years of accounting experience. Comprehensive knowledge of fundamental accounting concepts, practices and procedures. Possesses excellent communication, organizational and analytical skills. Ability to work independently. Microsoft Office. Ability to use data retrieval applications. Able to write complex queries using database software. We Prefer That You Have The Following: Two years Billing Experience. Two years FIPS experience. Two years PIRS experience. DB2 Query knowledge. One year's Group Information Library experience. Our Comprehensive Benefits Package Includes The Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. 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. 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 .

Summary Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans, policies, and procedures prescribed by management. Reviews assigned portions of audit programs, determines compliance with policies and procedures, recommends corrective action plans, and prepares/submits reports on the results of audits. Description This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled during our normal business hours 8:00am-5:00pm. What You'll Do: •Conducts audits of the financial, management, and administrative procedures of assigned divisions, providers, departments, and various lines of businesses throughout the organization to ensure that procedures are in compliance. Audits include interviewing key personnel, conducting testing, evaluating internal controls, analyzing existing financial and management practices to determine effectiveness, and reviewing relevant documentation to support findings. •Develops detailed reports on each audit conducted. Reports include a review of findings and an identification of recommendation to correct any deficiencies and methods for improvement to processes. Conducts testing of corrective actions as identified. •Conducts special audit studies for management, such as those required to discover controls for prevention of fraud. Prepares reports of finding and recommendations for management. •Assists other auditors in completing their assignments as a means of maximizing audit efficiency and thus reducing lost time and involvement of corporate personnel. Required Education: Bachelor's degree in Accounting, Finance, Business Administration, or other job-related field of study. Required Work Experience: Preferred: Experience with Medicare cost reporting and cost based reimbursement principle. Required Skills and Abilities: Knowledge of the principles and practices of auditing Ability to analyze and determine the applicability of financial data. Ability to draw conclusions and make appropriate recommendations for analyzed data. Ability to gather information by examining records and documents and interviewing individuals Strong interpersonal skills and the ability to work professionally with persons at all levels. Ability to communicate clearly and effectively in oral and written form. Ability to handle sensitive matters on a confidential basis. Required Software and Tools: Microsoft Office Our comprehensive benefits package includes the following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. 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. 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 . 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. 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 .

Summary Responsible for the accurate and timely processing of claims. Description Logistics: PGBA – one of BlueCross BlueShield's South Carolina subsidiary companies Location: This position is full-time (40-hours/week) Monday-Friday from 8am-5pm in a typical office environment. This role is located on-site at 17 Technology Cir., Columbia, SC 29203. Government Clearance : This position requires the ability to obtain a security clearance, which requires applicants to be a U.S. Citizen. SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). Under the McNamara-O'Hara Service Contract Act (SCA), employees cannot opt out of health benefits. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date. What You’ll Do: Researches and processes claims according to business regulation, internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes. Resolves system edits, audits and claims errors through research and use of approved references and investigative sources. Coordinates with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary. To Qualify for This Position, You'll Need the Following: Required Education: High School Diploma or equivalent Required Skills and Abilities: Strong analytical, organizational and customer service skills. Strong oral and written communication skills. Proficient spelling, punctuation and grammar skills. Good judgment skills. Basic business math skills . Required Software and Tools: Basic office equipment. We Prefer That You Have the Following: 1 year-of experience in a healthcare or insurance environment. Ability to use complex mathematical calculations. Proficient in word processing and spreadsheet applications. Proficient in database software . Our Comprehensive Benefits Package Includes the Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits for the first of the month following 28 days of employment. 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. 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 .

Summary Accountable for managing one or more teams responsible for customer service. Manages the day-to-day operations and workload issues for staff. Description Position Summary: Accountable for managing one or more teams responsible for customer service. Manages the day-to-day operations and workload issues for staff . Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM-5:00PM. It may be necessary, given the business need to work occasional overtime. You may be required to travel between buildings. This role is located at 17 Technology Circle, Columbia, SC 29203. What You’ll Do: Organizes and manages customer service staff and/or customer service teams for a line of business or department. Assigns work to associates within the team(s). Assists staff by providing guidance and assistance with questions and problems encountered. Handles escalated or sensitive customer matters. Manages performance to ensure that individual productivity, quality and timeliness standards are met. Monitors individual and team performance to ensure all customer requirements are met or exceeded. Monitors and analyzes reports/statistics, processes, and resources to provide maximum efficiency and effectiveness for all functions. Ensures appropriate training for all associates to ensure that the most current guidelines are always being followed. Conducts coaching sessions to ensure development of staff within team. Conducts team meetings and communications to ensure consistency. Encourages, facilitates, and initiates process improvements. Ensures that the department is in compliance with all company and government regulations. Monitors expenses and prepares annual budget for team. To Qualify For This Position, You'll Need The Following: Required Education: Bachelor's degree. Degree Equivalency: Degree Equivalency not applicable for the Celerian Group, Bachelor’s degree required. 4 years job related work experience or Associate's and 2 years job related work experience. Required Experience: 2 years of health related or customer service work experience. 1 year of supervisory experience OR 1 year of equivalent military experience in grade E4 or above . Required Software and tools: Proficient in Microsoft Office. Required Skills and Abilities: Excellent communication, decision making, analytical, and problem solving skills. Excellent interpersonal, time management, and leadership skills. Superior customer service orientation . We Prefer That You Have The Following: Customer service experience and/or call center experience Medicaid experience. Our Comprehensive Benefits Package Includes The Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. 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. 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 .

Summary Responsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures. Description Logistics: PGBA – is a subsidiary company of BlueCross BlueShield of South Carolina. Location : This position is full-time (40 hours/week) Monday-Friday in a typical office environment. Employees are required to have flexibility work any our 8-hour shift scheduled during hours of 8:00 AM –8:00 PM. Training will be Monday – Friday 8:00 AM - 4:30/5:00 PM for approximately 6-8 weeks. This role is located on site at 17 Technology Circle, Columbia SC Government Clearance: This position requires the ability to obtain a security clearance, which requires applicants to be a U.S. Citizen. SCA Benefit Requirements : BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act ( SCA ) . As a Service Contract Act (SCA) employee, you are required to enroll in our health insurance, even if you already have other health insurance. Until your enrollment is complete, you will receive supplemental pay for health coverage. Your coverage begins on the first day of the month following 28 days of full-time employment. What You’ll Do: Responds to written and/or telephone inquiries according to desk procedures, ensuring that contract standards and objectives for timeliness, productivity, and quality are met. Accurately documents inquiries. Identifies incorrectly processed claims and processes adjustments and reprocessing actions according to department guidelines. Examines and processes claims and/or non-medical appeals according to business/contract regulations, internal standards and examining guidelines. Enters claims into the claim system after verification of correct coding of procedures and diagnosis codes. Ensure claims are processed according to established quality and production standards. Identifies complaints and inquiries of a complex level that cannot be resolved following desk procedures and guidelines and refers these to a lead or manager for resolution. Identifies and promptly reports and/or refers suspected fraudulent activities and system errors to the appropriate departments. To Qualify for This Position, You’ll Need the Following: Required Education : High School Diploma or equivalent Required Work Experience: 1 year of experience in claims/appeals processing, customer service, or other related support area OR Bachelor's Degree in lieu of work experience. Required Skills and Abilities: Good verbal and written communication skills. Strong customer service skills. Good spelling, punctuation and grammar skills. Basic business math proficiency. Ability to handle confidential or sensitive information with discretion. Required Software and Tools: Microsoft office Our Comprehensive Benefits Package Includes the Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits for the first of the month following 28 days of employment. 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 Wellness program and healthy lifestyle premium discount Tuition assistance Service recognition Employee Assistance 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. Management will conduct interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the required qualifications. 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. 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 .