Appeals Specialist

BlueCross BlueShield of South Carolina

Appeals Specialist at BlueCross BlueShield reviewing non-medical appeals and processing letters accurately. Position requires CMS Security Clearance and involvement with government contracts.

Posted 7/28/2026full-timeFlorence • South Carolina • 🇺🇸 United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates proficiency in Microsoft Office, particularly in word processing and spreadsheet software, while ensuring accuracy and timeliness in processing documentation and reports. Strong organizational, customer service, and communication skills are essential for effectively handling administrative requests and legal inquiries.

Highest-signal resume keywords

Microsoft Office ProficiencyWord Processing SkillsSpreadsheet SkillsOrganizational SkillsCustomer Service Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Word ProcessingSpreadsheet SoftwareDocumentation PreparationData AnalysisReport Preparation

Soft Skills

Organizational SkillsCustomer Service SkillsWritten Communication SkillsVerbal Communication SkillsJudgment Skills

Certifications & Qualifications

High School Diploma or Equivalent

Industry Keywords

Non-Medical ReviewsRedetermination LettersWorkload AnalysisLegal InquiriesAdministrative Requests

About the role

Key responsibilities & impact

Performs non-medical reviews and processes redetermination letters ensuring timeliness and accuracy
Prepares unit reports, analyzes and interprets workload, and processes issues utilizing various software tools
Updates letters and documents within the department when necessary
May gather and prepare documentation for legal inquiries and administrative requests

Requirements

What you’ll need

High School Diploma or equivalent
2 years job related field
Demonstrated proficiency in word processing and spreadsheet software
Excellent organizational skills
Excellent customer service skills
Excellent written and verbal communication skills
Good judgment skills
Proficiency in spelling, punctuation, and grammar skills
Required Software and Tools: Microsoft Office

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