Processor, Claims II
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Before you apply
LocationNashville, Tennessee
Work modehybrid
Typefull-time
SeniorityMid
Company size7+ people
PostedOct 29, 2026 · 1w ago
Verified live5h ago
Reposted once in the last 6 monthsEarliest listing first seen Oct 26, 2026
How we check a job is still liveAt a glanceSummarised by Seekless from the posting.
Reviews and adjudicates complex or specialty claims
Determines whether to return, deny or pay claims following organizational policies and procedures
Assists in training or mentoring new staff members
This position is not eligible for sponsorship now or in the future
Under the McNamara-O'Hara Service Contract Act (SCA), employees cannot opt out of health benefits
Summary
Reviews and adjudicates complex or specialty claims. Determines whether to return, deny or pay claims following organizational policies and procedures. Assists in training or mentoring new staff members.
Description
About the company
Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we’ve been part of the national landscape for more than seven decades, 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, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!
Position Purpose: Reviews and adjudicates complex or specialty claims. Determines whether to return, deny or pay claims following organizational policies and procedures. Assists in training or mentoring new staff members.
Logistics: CGS (cgsadmin.com) – 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-4:00pm CST. This role is located at 26 Century Blvd Suite ST610 Nashville, TN 37214.
Legal
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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 cannot opt out of health benefits. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date.
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Sponsorship: This position is not eligible for sponsorship now or in the future.