On-Site Claims & Customer Care Advocate II

Southcarolinablues; Columbia (SC); Vor Ort; USD 42.000 - 55.000; Vollzeit

Benefits dieser Stelle

Health plans

401K retirement savings with company 1

Life Insurance

Paid Time Off (PTO)

On-site cafeterias

Zusammenfassung

BlueCross BlueShield of South Carolina seeks an on-site Customer Service Advocate II in Columbia, SC. You will handle inquiries, document details, and ensure timely, accurate processing of claims and appeals within established guidelines.

The role requires a minimum of a high school diploma (or equivalent) and 1 year of related experience, with strong communication skills and discretion in handling confidential information.

Qualifikationen

• High school diploma or equivalent.
• 1 year of claims/appeals processing or customer service experience.
• Strong verbal and written communication skills.
• Ability to handle confidential information with discretion.
• Proficient with Microsoft Office.

Aufgaben

• Respond to written and telephone inquiries promptly and accurately.
• Document inquiries and process adjustments to claims as needed.
• Process claims and non-medical appeals according to regulations and guidelines.
• Identify complex issues and escalate to a lead or manager.
• Maintain quality and productivity standards.

Kenntnisse

Verbal & Written Communication

Customer Service

Spelling & Grammar

Discretion with Confidential Info

Microsoft Office

Cohere & Genesys (preferred)

Ausbildung

High School Diploma or equivalent

Bachelor's degree (in lieu of work experience)

Tools

Microsoft Office

Cohere

Genesys

Jobbeschreibung

BlueCross BlueShield of South Carolina seeks an on-site Customer Service Advocate II in Columbia, SC. You will handle inquiries, document details, and ensure timely, accurate processing of claims and appeals within established guidelines.

The role requires a minimum of a high school diploma (or equivalent) and 1 year of related experience, with strong communication skills and discretion in handling confidential information.