Customer Experience Advocate II - On-site (Columbia, SC)

Pgba, Llc; Columbia (SC); In loco; USD 32.000 - 42.000; Tempo pieno

Vantaggi offerti da questo lavoro

Subsidized health plans

Dental and vision coverage

401K retirement savings plan with 401k

Life Insurance

Paid Time Off (PTO)

On-site cafeterias and fitness centers

Wellness program

Tuition assistance

Service recognition

Employee Assistance

Discounts to movies, theaters, zoos, &

Theme parks and more

Descrizione del lavoro

BlueCross BlueShield of South Carolina is seeking a Customer Service Advocate II for an on-site role in Columbia. You will handle customer inquiries, process claims and appeals, and ensure timely, accurate documentation within established procedures.

The position requires strong communication, confidentiality, and user proficiency with Microsoft Office; a high school diploma is required, with a bachelor’s degree acceptable as a substitute for work experience.

Competenze

• High School Diploma or equivalent required.
• 1 year of experience including claims/appeals processing or related support.
• Bachelor’s degree may substitute for work experience.
• Proficient in Microsoft Office and document handling.

Mansioni

• Responds to written and/or telephone inquiries per desk procedures, ensuring contract standards and timeliness are met.
• Examines and processes claims and/or non-medical appeals according to guidelines and coding verification.
• Identifies and refers complex issues to a lead or manager for resolution; reports suspected fraud or system errors.

Conoscenze

Good Verbal and Written Communication

Strong Customer Service Skills

Spelling, Punctuation and Grammar

Basic Business Math Proficiency

Confidentiality & Discretion

Formazione

High School Diploma or equivalent

Bachelor’s degree may substitute for work experience

Strumenti

Microsoft Office

Descrizione del lavoro

BlueCross BlueShield of South Carolina is seeking a Customer Service Advocate II for an on-site role in Columbia. You will handle customer inquiries, process claims and appeals, and ensure timely, accurate documentation within established procedures.

The position requires strong communication, confidentiality, and user proficiency with Microsoft Office; a high school diploma is required, with a bachelor’s degree acceptable as a substitute for work experience.