Ourhrconnect

Analyst, Stop Loss Accounting

Columbia, South Carolina · Contract

Sponsorship not specifiedDetected 10 hours ago

AccountingAuditingLogisticsCustomer SupportResearchCommunicationMicrosoft OfficeClaims Management

About the role

Summary Description Why should you join the BlueCross BlueShield of South Carolina family of companies?
We operate one of the most sophisticated data processing centers in the Southeast.
If you are dedicated to the same philosophy, consider joining our team!

Audit stop loss positions by running queries and comparing to the accumulated claims in the billing system. Research variances, document discrepancies and make appropriate adjustments.
Perform complex reviews of claims data in situations where the stop loss system does not accurately accumulate stop loss positions. Create custom reports and spreadsheets based on customer inquiries.
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.

Additionally, the claims must be tracked and monitored.
4 years job related work experience or Associate's and 2 years job related work experience
3 years in accounting, auditing, billing, claims, membership, or finance.
Ability to take initiative and meet deadlines.
Degree Equivalency: 4 years job related work experience or Associate's and 2 years job related work experience
Required Experience: 3 years in accounting, auditing, billing, claims, membership, or finance.
Required Skills and Abilities: Ability to compile information, perform research and analyze data.
Required Software and Other Tools: Microsoft Office including Access.
We Prefer That You have the Following:

Excellent verbal and written communication skills. Ability to take initiative and meet deadlines. Attention to detail.
Experience within a self-funded insurance programs.
Experience with AMMS claims processing system, experience with PFAB claims billing system, DB2 experience.
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

This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.

Required Education: Bachelors in a job-related field
Our Comprehensive Benefits Package Includes the Following:
We offer our employees great benefits and rewards.
You will be eligible to participate in our benefits program the first of the month following 28 days of employment.

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.

This listing is sourced directly from Ourhrconnect's careers page and normalized into a canonical job model.