Senior Customer Service Advocate — Complex Claims

Southcarolinablues; Columbia (SC); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

401K retirement savings plan

Life Insurance

Paid Time Off (PTO)

On-site cafeterias and fitness centers

Wellness program

Job summary

BlueCross BlueShield of South Carolina seeks a Customer Service Advocate III to handle complex inquiries and adjudicate claims in a full-time, on-site role in Columbia, SC. You will research issues, assist with policy interpretation, and collaborate with other departments to resolve problems.

The ideal candidate has strong communication skills, 2 years of experience in customer service or claims, and proficiency with Microsoft Office. Training is onsite during the initial weeks.

Qualifications

• Requires strong oral and written communication.
• Experience in customer service or claims processing preferred.
• Ability to learn multiple computer systems and procedures.

Responsibilities

• Provide prompt, accurate, courteous responses to complex inquiries.
• Review and adjudicate complex or specialty claims and non-medical appeals.
• Maintain records and coordinate with other departments to resolve issues.

Skills

Strong communication

Written communication

Organizational skills

Customer service

Education

High School Diploma or equivalent

Bachelor’s degree acceptable for experience

Tools

Microsoft Office

Job description

BlueCross BlueShield of South Carolina seeks a Customer Service Advocate III to handle complex inquiries and adjudicate claims in a full-time, on-site role in Columbia, SC. You will research issues, assist with policy interpretation, and collaborate with other departments to resolve problems.

The ideal candidate has strong communication skills, 2 years of experience in customer service or claims, and proficiency with Microsoft Office. Training is onsite during the initial weeks.