Claims Customer Service Advocate II
BlueCross BlueShield of South Carolina
full-time
Posted on:
Location Type: Hybrid
Location: Richland County • South Carolina • United States
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About the role
- Responds accurately, timely, and courteously to customer inquiries
- Handles non-routine inquiries requiring research
- Reviews and adjudicates claims and appeals
- Determines claim outcomes following policies
- Ensures claims are processed according to established standards
- Identifies and reports potential fraud
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 & Tools
claims processingappeals processingbusiness math proficiency
Soft Skills
customer serviceverbal communicationwritten communicationattention to detaildiscretion
Certifications
High School DiplomaBachelor's Degree