South Carolina’s largest and oldest health insurance company
Appeals Specialist – CGS Admin
Location
Tennessee
Posted
3 days ago
Salary
0
Seniority
Mid Level
Job Description
Appeals Specialist – CGS Admin
BlueCross BlueShield of South Carolina
• 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.
Job Requirements
- 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
- 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
Related Guides
Related Categories
Related Job Pages
More General Jobs
Cruise & Resort Planning Specialist
Travel With LaniCurating amazing travel experiences while empowering new agents to launch their careers in the travel industry!
• Consult with clients to understand their preferences, budgets, and trip goals • Research destinations, suppliers, and current promotions • Design customized itineraries for vacations, cruises, and group experiences • Coordinate reservations including flights, accommodations, cruises, transportation, and activities • Provide clients with clear details regarding schedules, documentation, and policies • Maintain accurate records of bookings, payments, and client communications • Monitor reservations and assist with modifications or support as needed • Build and maintain long-term client relationships to encourage repeat business and referrals • Participate in ongoing training and professional development
• Join an international customer support team • Build your career while working remotely in a dynamic and multicultural environment • Handle customer support roles
Role Description As a Remote Cruise Specialist, you will work directly with clients to design and book their dream vacations. From recommending destinations to arranging accommodations, transportation, and special activities, you'll ensure every detail is handled so your clients can focus on enjoying their trip. Key Responsibilities - Connect with clients to learn about their travel goals, preferences, and budget. - Research and recommend destinations, resorts, cruises, and unique experiences. - Create and present customized vacation itineraries. - Book flights, accommodations, transfers, and excursions. - Stay up-to-date on travel trends, packages, and promotions. - Provide excellent customer service before, during, and after travel. Qualifications - Passion for travel and helping others experience the world. - Strong communication and customer service skills. - Organized, detail-oriented, and able to manage multiple bookings. - Self-motivated, enthusiastic, and eager to learn. - No prior travel experience required; training is provided. Benefits - Work from anywhere with a schedule that fits your lifestyle. - Access to travel industry training and mentorship. - Exclusive travel discounts and perks. - Opportunity to grow with a supportive travel team.
Role Description Join our team as a Cruise Coordinator and help travelers plan unforgettable cruise vacations all while working remotely with flexible hours and full training provided. As a Cruise Coordinator, you'll assist clients with planning, booking, and organizing cruise vacations. You'll match travelers with the right cruise lines, destinations, and itineraries while providing excellent customer care throughout the process. This is a remote opportunity with full training provided perfect for someone who loves travel and wants to turn that passion into income. Key Responsibilities - Consult with clients to understand their travel goals, preferences, and budgets. - Research and recommend cruise lines, destinations, excursions, and packages. - Build and present customized cruise itineraries that fit client needs. - Manage bookings, payments, and documentation for cruise travel. - Stay updated on cruise line promotions, ship details, and travel trends. - Deliver excellent customer service before, during, and after each trip. Qualifications - Passion for travel and helping others plan unforgettable experiences. - Strong communication and interpersonal skills. - Detail-oriented, organized, and self-motivated. - Ability to work independently with a positive, proactive attitude. - No prior experience required—comprehensive training provided. Benefits - 100% remote work with flexible scheduling. - Access to travel industry certification and mentorship. - Exclusive discounts, perks, and potential travel opportunities. - Supportive and collaborative team environment.



