Claims Customer Service Advocate I

BlueCross BlueShield of South Carolina

Claims Customer Service Advocate handling inquiries and processing claims in a healthcare environment. Responsible for claims adjudication and maintaining quality standards.

Posted 6/27/2026full-timeGreenville • South Carolina • 🇺🇸 United StatesJuniorWebsite

About the role

Key responsibilities & impact

Responsible for responding to routine inquiries
Identifies incorrectly processed claims and completes adjustments and related reprocessing actions
Reviews and adjudicates claims and/or non-medical appeals
Determines whether to return, deny or pay claims following organizational policies and procedures

Requirements

What you’ll need

High School Diploma or equivalent
1 year of experience in a claims/appeals processing, customer service, or other related support area 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.

Benefits

Comp & perks

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
Education Assistance
Service Recognition
National discounts to movies, theaters, zoos, theme parks and more

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claims processingappeals processingadjustmentsadjudicationbusiness math

Soft Skills

verbal communicationwritten communicationcustomer serviceattention to detaildiscretion

Certifications

High School DiplomaBachelor's Degree