Customer Service Representative
U-Haul
Claims Customer Service Advocate II
BlueCross BlueShield of South Carolina
full-time
Posted on:
Location Type: Office
Location: Columbia • South Carolina • 🇺🇸 United States
Visit company websiteJob Level
JuniorMid-Level
About the role
- Ensures effective customer relations by responding accurately, timely, and courteously to telephone, written, web, or walk-in inquiries
- Handles situations which may require adaptation of response or extensive research
- Identifies incorrectly processed claims and processes adjustments and reprocessing actions according to department guidelines
- Examines and processes claims and/or non-medical appeals according to business/contract regulations, internal standards and examining guidelines
- Enters claims into the claim system after verification of correct coding of procedures and diagnosis codes
- Ensures claims are processing according to established quality and production standards
- Identifies complaints and inquiries of a complex level that cannot be resolved following desk procedures and guidelines and refers these to a lead or manager for resolution
- Identifies and reports potential fraud and abuse situations
Requirements
- High School Diploma or equivalent
- 2 years of customer service experience including 1 year of claims or appeals processing experience OR Bachelor's Degree in lieu of work experience
- 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
- Microsoft office proficiency
Benefits
- Subsidized health plans
- Dental and vision coverage
- 401K retirement savings plan with company match
- Life Insurance
- Paid Time Off (PTO)
- On-site cafeterias and fitness centers in major locations
- Wellness program and healthy lifestyle premium discount
- Tuition assistance
- Service recognition
- Employee Assistance
- Discounts to movies, theaters, zoos, theme parks and more
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claims processingappeals processingcoding proceduresdiagnosis codesbusiness math proficiency
Soft skills
customer serviceverbal communicationwritten communicationadaptabilitydiscretion
Certifications
High School DiplomaBachelor's Degree