Remote Customer Service Advocate III

Southcarolinablues; Columbia (SC); Híbrido; USD 23.000 - 32.000; A tiempo parcial

Descripción de la vacante

BlueCross BlueShield of South Carolina is seeking a Customer Service Advocate III for a part-time role in Columbia, SC. You will respond to complex inquiries via phone, email, and web, requiring deviation from scripts and research to resolve issues.

The position emphasizes accurate adjudication of complex claims and non-medical appeals, collaboration with other departments, and training support for new staff. Remote/hybrid work is possible within a 33-hour week schedule.

Formación

• Requires high school diploma or equivalent.
• 2 years of customer service or claims processing experience, OR a Bachelor's degree in lieu of work experience.
• Strong oral and written communication, grammar, and customer service skills.
• Proficiency with Microsoft Office and ability to learn multiple computer systems.

Responsabilidades

• Provide prompt, accurate responses to complex inquiries via telephone, web, email, or in person.
• Research and adjudicate complex or specialty claims and non-medical appeals.
• Maintain productivity, quality, and timeliness standards.
• Assist with training of new employees and cross-training of coworkers.
• Communicate with management to resolve customer issues and implement improvements.

Conocimientos

Oral & written communication

Grammar proficiency

Organizational & analytical

Customer service

Stress management

Basic math

Multisystem usage

Educación

High School diploma or equivalent

Associate degree (preferred)

Bachelor's degree in lieu of experience

Herramientas

Microsoft Office

Database software knowledge

Descripción del empleo

BlueCross BlueShield of South Carolina is seeking a Customer Service Advocate III for a part-time role in Columbia, SC. You will respond to complex inquiries via phone, email, and web, requiring deviation from scripts and research to resolve issues.

The position emphasizes accurate adjudication of complex claims and non-medical appeals, collaboration with other departments, and training support for new staff. Remote/hybrid work is possible within a 33-hour week schedule.