Specialist, Appeals
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Before you apply
LocationNashville, Tennessee
Work modehybrid
Typefull-time
Company size7+ people
PostedNov 2, 2026 · 6d ago
Verified live1d ago
At a glanceSummarised by Seekless from the posting.
Performs non-medical reviews and processes redetermination letters
Requires CMS Security Clearance
Subject to Service Contract Act (SCA) benefit requirements – cannot opt out of health benefits
Benefits
Health insurance
Summary
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!
Description
Position Purpose: An Appeals Specialist performs non-medical reviews and processes redetermination letters.
Logistics: CGS - one of BlueCross BlueShield’s South Carolina subsidiary companies.
Requirements
Government Clearance: This position requires CMS Security Clearance as it falls within a division subject to Centers for Medicare and Medicaid Services residency requirements.
Benefits
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.
Location: This full-time opportunity is scheduled for 40 hours per week, Monday through Friday, from 8:00 AM to 5:00 PM CT. After successfully completing training, employees will be eligible for a hybrid work arrangement. The primary work location is One Century Plaza, Nashville, TN.