Part-Time Claims & Customer Care Advocate II

Southcarolinablues; Florence (SC); On-site; USD 21,000 - 30,000; Part time

Job summary

BlueCross BlueShield of South Carolina is seeking a part-time Customer Service Advocate II to handle routine inquiries related to claims and appeals from 11:00 am to 3:00 pm at the Florence, SC office. Training runs 8:00 am to 4:30 pm for five weeks onsite.

The role requires strong communication and customer service skills, with 2 years of customer service experience or equivalent education. Sponsorship is not available. Office environment with standard business hours.

Qualifications

• Good verbal and written communication skills.
• Strong customer service skills.
• Good spelling, punctuation and grammar skills.
• Basic business math proficiency.
• Ability to handle confidential or sensitive information with discretion.

Responsibilities

• Researches and responds to telephone inquiries according to desk procedures, ensuring that contract standards and objectives for timeliness, productivity, and quality are met.
• Researches and responds to written inquiries and identifies incorrectly processed claims; completes the adjustment and/or reprocessing action per guidelines, including initiating recoupments as necessary.
• Identifies complaints and inquiries of a complexity level that cannot be resolved per procedures and refers them to a lead or manager for resolution.
• Identifies and reports potential fraud and abuse situations.
• Completes projects and/or assignments related to claims processing and customer service functions in the department.

Skills

Verbal communication

Written communication

Customer service

Spelling and grammar

Business math

Confidentiality

Education

High School Diploma or equivalent

Tools

Microsoft Office

Job description

BlueCross BlueShield of South Carolina is seeking a part-time Customer Service Advocate II to handle routine inquiries related to claims and appeals from 11:00 am to 3:00 pm at the Florence, SC office. Training runs 8:00 am to 4:30 pm for five weeks onsite.

The role requires strong communication and customer service skills, with 2 years of customer service experience or equivalent education. Sponsorship is not available. Office environment with standard business hours.