Appeals Specialist – CGS Admin

BlueCross BlueShield of South Carolina

Appeals Specialist performing non-medical reviews and processing redetermination letters for BlueCross BlueShield of South Carolina. Collaborating with teams to ensure accuracy and timeliness in documentation.

Posted 7/14/2026full-timeRemote • Tennessee • 🇺🇸 United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates proficiency in non-medical reviews and processing documentation with a focus on accuracy and timeliness. Strong organizational and communication skills are essential for preparing reports and handling customer service inquiries.

Highest-signal resume keywords

Microsoft Office ProficiencyWord Processing SkillsSpreadsheet Software SkillsOrganizational SkillsCustomer Service Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Non-Medical ReviewsDocumentation ProcessingReport PreparationData AnalysisIssue Processing

Soft Skills

Excellent Written CommunicationExcellent Verbal CommunicationGood Judgment Skills

Certifications & Qualifications

High School Diploma or Equivalent

Industry Keywords

TimelinessAccuracyLegal 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 letter's 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, customer service, and written and verbal communication skills
Good judgment skills.
Proficiency in spelling, punctuation, and grammar skills.
Microsoft Office proficiency

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