Ourhrconnect
Claims Customer Service Advocate I
Columbia, South Carolina · Contract
No sponsorshipDetected 2 days ago
CybersecurityLogisticsCustomer SupportCommunicationMicrosoft Office
About the role
- Summary 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.
Responsibilities
- Accurately documents inquiries.
- 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.
- We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.
Requirements
- Employees are required to have flexibility work any our 8-hour shift scheduled during hours of 8:00 AM -5:00 PM.
- This position requires the ability to obtain a security clearance, which requires applicants to be a U.S. Citizen.
- 1 year of experience in claims/appeals processing, customer service, or other related support area OR Bachelor's Degree in lieu of work experience.
- Required Work Experience:
- Required Skills and Abilities:
- Required Software and Tools:
Skills
- 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
- 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
Compensation
- This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.
Benefits
- Examines and processes claims and/or non-medical appeals according to business/contract regulations, internal standards and examining guidelines.
- Required Education:
- Our Comprehensive Benefits Package Includes the Following:
- We offer our employees great benefits and rewards.
- You will be eligible to participate in the benefits for the first of the month following 28 days of employment.
Company info
- PGBA - is a subsidiary company of BlueCross BlueShield of South Carolina.
Equal opportunity
- BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status.
- Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans.
- It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.
- We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.
Visa & Work Authorization
- This position is not eligible for sponsorship now or in the future
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This listing is sourced directly from Ourhrconnect's careers page and normalized into a canonical job model.