Customer Care Advocate II - Claims & Inquiries

BlueCross and BlueShield of South Carolina; Columbia (SC); Vor Ort; USD 21.000 - 30.000; Vollzeit

Benefits dieser Stelle

Subsidized health plans

401K with company match

Life Insurance

Paid Time Off

Zusammenfassung

BlueCross BlueShield of South Carolina is seeking a dedicated customer service professional to provide prompt, accurate responses to inquiries. The role involves researching and resolving non-routine questions, documenting interactions, and ensuring adherence to contract standards.

The position is full-time, primarily on-site in Columbia, with occasional overtime and potential inter-building travel. Training will be conducted on-site for several weeks.

Qualifikationen

• A High School Diploma or equivalent is required.
• 1-year of experience including 1-year claims/appeals processing, customer service, or other related support area OR bachelor's degree in lieu of work experience.
• Excellent verbal and written communication, strong customer service, and good spelling and grammar.
• Basic business math proficiency and ability to manage confidential or sensitive information with discretion.

Aufgaben

• Responds to written and/or telephone inquiries according to desk procedures, ensuring that contract standards and objectives for timeliness, productivity, and quality are met.
• Examines and processes claims and/or non-medical appeals according to business/contract regulations, internal standards and examining guidelines.
• Identifies complex inquiries and refers to a lead or manager for resolution.

Kenntnisse

Verbal communication

Written communication

Customer service

Spelling and grammar

Business math

Discretion with confidential info

Ausbildung

High School Diploma or equivalent

Tools

Microsoft Office

Jobbeschreibung

BlueCross BlueShield of South Carolina is seeking a dedicated customer service professional to provide prompt, accurate responses to inquiries. The role involves researching and resolving non-routine questions, documenting interactions, and ensuring adherence to contract standards.

The position is full-time, primarily on-site in Columbia, with occasional overtime and potential inter-building travel. Training will be conducted on-site for several weeks.