Hybrid Claims & Customer Care Advocate I

Southcarolinablues; Columbia (SC); Hybrid; USD 35,000 - 52,000; Full time

Benefits offered by this job

Subsidized health plans

Dental and vision coverage

401K retirement savings with company 


Life Insurance

Paid Time Off

On-site cafeterias and fitness centers

Wellness program

Tuition assistance

Employee discounts

Service recognition

Employee Assistance

Job summary

BlueCross BlueShield of South Carolina is seeking a Customer Service Advocate I for a full-time hybrid role in Columbia, SC. You’ll respond to written or phone inquiries, document inquiries, and process claims and non-medical appeals according to guidelines.

Training occurs onsite 8–10 weeks, with shifts 8:00 AM–5:00 PM. The role requires a high school diploma and at least 1 year in claims/appeals processing or customer service.

Qualifications

• High School Diploma or equivalent.
• 1 year experience including 1 year claims/appeals processing, customer service, or related support (or a bachelor’s degree in lieu of work experience).
• Strong verbal and written communication skills; accurate spelling and grammar; basic business math.

Responsibilities

• Responds to written and/or telephone inquiries; documents inquiries and ensures timeliness, productivity and quality.
• Examines claims and non-medical appeals; enters claims with correct coding and follows guidelines.
• Identifies complex issues and refers to a lead/manager; reports suspected fraud or system errors.

Skills

Verbal communication

Written communication

Customer service

Spelling, punctuation, grammar

Business math

Confidential information handling

Education

High school diploma

Bachelor's degree (in lieu of experience)

Tools

Microsoft Office

Job description

BlueCross BlueShield of South Carolina is seeking a Customer Service Advocate I for a full-time hybrid role in Columbia, SC. You’ll respond to written or phone inquiries, document inquiries, and process claims and non-medical appeals according to guidelines.

Training occurs onsite 8–10 weeks, with shifts 8:00 AM–5:00 PM. The role requires a high school diploma and at least 1 year in claims/appeals processing or customer service.