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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 ). Under the McNamara-O'Hara Service Contract Act (SCA), employees are required to enroll in health insurance benefits regardless of other insurance coverage. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date. 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, and you will be contacted via the application portal if selected for scheduling. 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 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. 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 8am-6pm. 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 4101 Percival Road. W@H will be considered upon review by management for performance and proficiency. What You’ll Do: Reviews claims or appeals issues, complaints, and inquiries referred by claims customer service representatives to determine if desk procedures and guidelines were followed. Research to identify cause and mine ways to prevent and correct such causes. Identifies and reports potential fraud and abuse situations. Researches and responds to complex customer inquiries, ensuring that contract standards and objectives for timeliness, productivity and quality are met. Handles situations that require adaptation of response or extensive research. 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. Provide feedback to management regarding customer issues. Maintain accurate records concerning issues. Follow through on complaints until resolved or report to management as needed. Maintain knowledge of procedures and policies. Assist with process improvements by recommending improvements in procedures and policies. Assists in training claims customer service representatives. To Qualify for This Position, You'll Need the Following: Required Education: High School Diploma or equivalent Required Work Experience: 3 years of customer service experience, including 1 year of claims or appeals processing experience 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 abilities. Ability to handle confidential or sensitive information with discretion. 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. 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 .

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 ). Under the McNamara-O'Hara Service Contract Act (SCA), employees are required to enroll in health insurance benefits regardless of other insurance coverage. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date. 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, and you will be contacted via the application portal if selected for scheduling. 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 coordinating and directing the efforts of the Document Control associates to ensure the timely and accurate processing and general control of documents. Distribute work and determines work priorities for the staff. Perform quality audits and helps evaluate the effectiveness of the quality assurance program. May orient, train, assign and check the work of lower level employees and be designated as lead worker. Description Logistics: Planned Administrators Inc. (PAI) , – one of BlueCross BlueShield's South Carolina subsidiary companies. 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: Directs and coordinates the sorting, counting, batching and scanning of all claims, documents, mail and/or other process correspondence provides coverage or support for other staff members during departmental projects and/or periods of understaffing. May provide training and guidance to entry-level support staff. 20% Maintains departmental logs, spreadsheets or databases. Prepares basic reports/statistics for management on work received for production and workload assessment. 10% Prepares correspondence or packages for internal/external mailing. Tracks correspondence and/or packages and follows up as needed. Orders supplies and maintains departmental supply inventory To Qualify For This Position, You'll Need The Following: Required Education: High School Diploma or equivalent. Required Experience: 5 years of clerical or office support experience. Required Software and tools: Microsoft Office. Required Skills and Abilities: Good communication and organizational skills. Detail-oriented. Basic business math, computer skills. 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) 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. On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more 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 correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. 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 10AM –7PM. 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 ). Under the McNamara-O'Hara Service Contract Act (SCA), employees are required to enroll in health insurance benefits regardless of other insurance coverage. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date. 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. Ensures claims are processing 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: A High School Diploma or equivalent Required Work Experience: 1-year of experience including 1-year 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 Manage Confidential or Sensitive Information with Discretion. Required Software and Tools: Microsoft Office. What We Prefer that you Have the Following: Associate degree (2) years-of claims processing or call center experience. 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 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 .

Summary In the role as the Claims Customer Service Advocate II, the ideal candidate will be responsible for responding to routine inquiries. These inquiries may be non-routine and require deviation from standard screens, scripts, and procedures. The Claims Customer Service Advocate II will perform research as needed to resolve inquiries. The ideal candidate will review and adjudicate claims and/or non-medical appeals as well as determine whether to return, deny, or pay claims following organizational policies and procedures. 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 have 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 committed to the same philosophy, consider joining our team! Here is your opportunity to join a dynamic team at a diverse company with secure, community roots and an innovative future. Description Location : This position is full time (40 hours/week) Monday-Friday in a typical office environment. Employees are required to have flexibility to work any of our 8-hour scheduled shifts during the hours of 8:00 AM –6:00 PM. Training will be Monday – Friday 8:00 AM - 4:30 PM for approximately 6-8 weeks. This role is located on site at 4101 Percival Road, Columbia SC. What You’ll Do: Ensures effective customer relations by responding accurately, timely, and courteously to telephone, written, web, or walk-in inquiries. Handles situations which may require adaptation of response or extensive research. 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. Ensures claims are processing 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 reports potential fraud and abuse situations. To Qualify for This Position, You’ll Need the Following: Required Education : High School Diploma or equivalent Required Work Experience: 2 years of customer service experience including 1 year of claims or appeals processing experience 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 p roficiency. 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 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 .

Summary Responsible for responding to customer inquiries. Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures. Description Location : This position is full time (40 hours/week) Monday-Friday in a typical office environment. Employees are required to have flexibility to work any of our 8-hour scheduled shifts during the hours of 8:00 AM –6:00 PM. Training will be Monday – Friday 8:00 AM - 4:30 PM for approximately 6-8 weeks. This role is located on site at 4101 Percival Road, Columbia SC. What You’ll Do: Ensures effective customer relations by responding accurately, timely, and courteously to telephone, written, web, or walk-in inquiries. Handles situations which may require adaptation of response or extensive research. 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. Ensures claims are processing 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 reports potential fraud and abuse situations. To Qualify for This Position, You’ll Need the Following: Required Education : High School Diploma or equivalent Required Work Experience: 2 years of customer service experience including 1 year of claims or appeals processing experience 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 p roficiency. 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 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 .

Job Posting Start Date 08-25-2025 Job Posting End Date Flex is the diversified manufacturing partner of choice that helps market-leading brands design, build and deliver innovative products that improve the world. A career at Flex offers the opportunity to make a difference and invest in your growth in a respectful, inclusive, and collaborative environment. If you are excited about a role but don't meet every bullet point, we encourage you to apply and join us to create the extraordinary. Job Summary Responsible to set up, operate, or tend milling or planning machines to mill, plane, shape, groove, or profile metal or plastic work pieces. A job as a Tooling Technician falls under the broader career category of Milling and Planning Machine Setters, Operators, and Tenders, Metal and Plastic. Principle Accountabilities: Position and secure work pieces on machines, using holding devices, measuring instruments, hand tools, and hoists. Remove work pieces from machines, and check to ensure that they conform to specifications, using measuring instruments such as microscopes, gauges, calipers, and micrometers. Select and install cutting tools and other accessories according to specifications, using hand tools or power tools. Select cutting speeds, feed rates, and depths of cuts, applying knowledge of metal properties and shop mathematics. Observe milling or planning machine operation and adjust controls to ensure conformance with specified tolerances. Verify alignment of work pieces on machines, using measuring instruments such as rules, gauges, or calipers. Move controls to set cutting specifications, to position cutting tools and work pieces in relation to each other, and to start machines. Replace worn tools, using hand tools, and sharpen dull tools, using bench grinders. Study blueprints, layouts, sketches, or work orders to assess work piece specifications and to determine tooling instructions, tools and materials needed, and sequences of operations. Compute dimensions, tolerances, and angles of work pieces or machines, according to specifications and knowledge of metal properties and shop mathematics. Turn valves or pull levers to start and regulate the flow of coolant or lubricant to work areas. Move cutters or material manually or by turning hand wheels, or engage automatic feeding mechanisms to mill work pieces to specifications. Record production output. Make templates or cutting tools. Mount attachments and tools such as pantographs, engravers, or routers to perform other operations such as drilling or boring. Sets-up and operate all conventional tool room machinery to manufacture and repair gages, tooling, and cathodes. Precisely handworks cathodes and performs coating operations on cathodes and tools. Completes routers properly with inspection information for each part run, if applicable, and uses logbooks to communicate between shifts. Perform routine maintenance for machine performance to prevent potential problems. Assemble new tools, gages, and cathodes. Perform other related duties as assigned by management. What you'll receive for the great work you provide: Full range of medical, dental, and vision plans Life Insurance Short-term and Long-term Disability Matching 401(k) Contributions Vacation and Paid Sick Time Tuition Reimbursement Job Category Production Engineering Is Sponsorship Available? No Flex is an Equal Opportunity Employer and employment selection decisions are based on merit, qualifications, and abilities. We do not discriminate based on: age, race, religion, color, sex, national origin, marital status, sexual orientation, gender identity, veteran status, disability, pregnancy status, or any other status protected by law. We're happy to provide reasonable accommodations to those with a disability for assistance in the application process. Please email accessibility@flex.com and we'll discuss your specific situation and next steps (NOTE: this email does not accept or consider resumes or applications. This is only for disability assistance. To be considered for a position at Flex, you must complete the application process first).

Isola, an industry leader in global materials sciences whose mission is to improve life by enabling innovation in electronic products, is hiring Operations Supervisor for 2nd Shift at our Ridgeway, SC Location Schedule: 1:00pm to 9:30pm Monday to Friday (Extended shift and weekend overtime work required) Compensation: 65k-85k THE ROLE The Operations Supervisor is responsible for leading a production team towards accomplishing production team goals. In addition, the Supervisor participates in developing and implementing strategic plans to improve plant performance. This role performs a variety of routine and non-routine management and supervisory functions in accordance with standard procedures to ensure manufacturing employees meet all safety, quality, productivity, cost, and delivery goals. WHO WILL LOVE THIS JOB A team steward, you are motivated to do your best work and strive to elevate the entire team An advisor, you build rapport by offering strategic value in every interaction. You are trusted internally by cross-functional partners, as well as externally by our customers, for your strategic inputs. A creative problem solver, you are energized by roadblocks and have a knack for troubleshooting problems in stride and solving them in a calm, cool, and collected manner. TOP RESPONSIBILITIES: • Provide leadership and direction to the Operations team to meet all safety, quality, productivity, cost, and on-time shipment goals. • Drive focus on safety as an integral part of the teams' day-to-day activities. • Assure shift meetings and department audits are completed. • Work with teams to analyze data and identify opportunities for continuous improvement. • Motivate and develop by example. • Communicate goals and provide daily feedback on metrics. • Hold production teams and individuals accountable for consistently meeting performance metrics. • Create the linkages between production teams, maintenance, QA, engineering, and other functions. • Ensure proper staffing coverage, work with Operations Manager and Human Resources to address staffing requirements and actions • Act as a primary communication link for information flowing to and from the shift team. • Respect diversity and promote good working relationships among all employees. • Address and resolve conflicts promptly. • Develop, document, and deliver appropriate counseling and discipline to individuals when requirements & performance are not met. • Maintain employee training and performance records • Must work production schedule, including weekends, as required. QUALIFICATIONS: • 5 years of experience in a manufacturing environment, with a minimum of 3 years in a Supervisory role leading a department/ function with direct reports • Creative and energetic individual with high professional standards who thrives in a demanding work environment. • Successful track record in achieving results. • Demonstrated ability to motivate and work with all levels in the organization. • Must be organized, self-starter; must have analytical skills and good written and verbal communication skills. • Ability to prioritize while driving multiple projects and tasks simultaneously; demonstrated problem-solving and analytical skills. REQUIRED QUALIFICATIONS: • Candidates must have strong verbal and written communication skills. • Able to communicate effectively both orally and in writing. • Proficiency in reading, writing, and verbal communication is essential. PHYSICAL REQUIRMENTS • In this role you maybe be required to stand up to 10 hours per shift and with frequent bending, reaching, and grasping. You will also need to lift, pull or push up to 50 pounds.

Description: Join America's Only Major TV Manufacturer Since 2007, Element Electronics has revolutionized home entertainment by making cutting-edge TV technology accessible to every household. As the only major television company assembling products in the United States, we've built something special at our Winnsboro, SC facility. Now we're expanding into electronics and home appliances, and we need an exceptional Engineering Manager to lead our next phase of growth. Why Element Electronics? Make History: Be part of the only major TV company manufacturing in America Drive Innovation: Lead cutting-edge manufacturing processes and automation initiatives Career Growth: Expand your impact as we grow into new product categories Meaningful Work: Help make advanced technology accessible to American families Stability: Join an established company with 17+ years of growth and innovation Position Description: We're seeking a dynamic Engineering Manager to drive manufacturing excellence and operational innovation at our South Carolina facilities. You'll lead cross-functional teams to optimize production processes, implement lean manufacturing practices, and spearhead facility expansion projects. This role combines strategic leadership with hands-on engineering expertise, offering the opportunity to shape the future of American manufacturing while building and developing high-performing engineering teams. What You'll Do: Drive Manufacturing Innovation Lead new production line setup and optimize warehouse operations using data-driven methodologies Design and implement scalable production and quality processes across our SC facilities Spearhead facility expansion projects, establishing world-class manufacturing capabilities Oversee critical projects from conception to completion, providing executive leadership with comprehensive status reporting and analysis Champion Continuous Improvement Implement lean manufacturing practices through hands-on Gemba walks and assessments Lead cross-functional automation initiatives to optimize production efficiency and quality Partner with Manufacturing, Warehouse, and Quality teams to drive process improvements and new product development Ensure operational excellence across the entire value chain - from supply chain to final product delivery Build and Lead High-Performing Teams Create an inspiring workplace culture aligned with Element's mission of innovation and accessibility Develop talent through structured performance management, goal setting, and career development planning Lead, mentor, and grow a team of engineering professionals Foster collaboration across departments to achieve ambitious company objectives Ready to Lead Manufacturing Excellence? If you're passionate about operational excellence, team leadership, and making a tangible impact on American manufacturing, we want to hear from you. Join Element Electronics and help shape the future of how technology is made in America. Requirements: Bachelor's degree in Engineering (Manufacturing, Industrial, Mechanical, or related field) or equivalent combination of education and experience 7+ years of progressive engineering experience with at least 3 years in management roles Demonstrated success leading cross-functional teams and driving operational improvements Strong technical foundation in manufacturing processes, quality systems, and continuous improvement methodologies Excellent communication and interpersonal skills with ability to influence at all organizational levels What Will Set You Apart Lean Manufacturing expertise (Six Sigma, Kaizen, 5S certifications preferred) Advanced project management skills (PMP, Agile, or similar certifications a plus) Experience with automation and Industry 4.0 technologies Track record of successful facility startups or expansions Bilingual capabilities (Spanish/English) to support our diverse workforce Military leadership experience or other diverse leadership backgrounds Core Leadership Competencies Strategic thinking with ability to balance long-term vision and immediate priorities Change management expertise in fast-paced manufacturing environments Team development focus with passion for mentoring and growing talent Results-driven approach with strong problem-solving and decision-making abilities Collaborative leadership style that builds trust and drives engagement across departments Additional Information Full-time position with standard Monday-Friday schedule (on-site) Occasional evening and weekend work may be required to support operations and project deadlines Work authorization required: Must be authorized to work in the United States without sponsorship Position duties may evolve to meet business needs and support operational excellence Ability to work in manufacturing environments including production floors and warehouses Equal Employment Opportunity Element Electronics is committed to providing equal employment opportunities to all employees and applicants regardless of race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, genetics, or veteran status. We comply with all federal, state, and local laws governing nondiscrimination in employment. This policy applies to all terms and conditions of employment including recruiting, hiring, promotion, compensation, benefits, training, and development. Element Electronics prohibits workplace harassment and retaliation of any kind. We are committed to maintaining a workplace free from discrimination and harassment where all employees can contribute to their fullest potential.