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Manager, P & C Claims – Workers Compensation, General Liability
BlueCross BlueShield of South CarolinaManage claims operations at BlueCross BlueShield of South Carolina, ensuring performance standards and effective team collaboration in a hybrid environment.
About the role
Key responsibilities & impact- Responsible for the management of assigned claims operation(s)
- Ensure investigation and adjudication of claims meet performance standards and objectives
- Develop and maintain effective working relationships with business partners
- Responsible for the development of claims staff, vendors, and contractors
- Complete requests for proposal, bids, and due diligence on potential new jurisdictions
- Assist claims senior management team in achieving departmental and corporate strategies and goals
Requirements
What you’ll need- Bachelor's degree (or 4 years job related work experience / Associate's degree + 2 years job related work experience)
- 2 years of area related adjusting experience
- Valid adjustor's license in required states or ability to acquire within 6 months
- Analyzes laws, regulations and contract language
- Evaluates issues and develops recommendations
- Handles confidential and sensitive information
- Investigates assigned claims
- Proposes claims adjustments and refunds
- Works claims caseloads
Benefits
Comp & perks- 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.
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims managementinvestigationadjudicationclaims adjustingproposal writingdue diligenceclaims analysisrecommendation developmentconfidential information handlingclaims caseload management
Soft Skills
relationship managementteam developmentcommunicationorganizational skillsproblem-solving
Certifications
adjustor's license