Ourhrconnect

Ourhrconnect

FCMB Customer Service Advocate II

Florence, South Carolina · Mid · Contract

Sponsorship not specifiedDetected 2 days ago
LogisticsCustomer SupportResearchLeadershipCommunicationOrganizational SkillsClaims Management

About the role

  • Summary Responsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals.
  • Identifies incorrectly processed claims and completes adjustments and related reprocessing actions.
  • Description Position Purpose: From the moment of login, you'll be focused on proactively resolving our members' and/or providers' questions and concerns using computer-based resources to find answers.

Responsibilities

  • Identifies complaints and inquiries of a complexity 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.
  • 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

  • Required Work Experience: 2 years of customer service experience OR 1 year of claims or appeals processing experience and 1 year of customer service experience OR Bachelor's Degree in lieu of work experience.
  • Required Skills and Abilities: Good verbal and written communication skills.
  • Required Software and Other Tools: Microsoft Office.
  • We Prefer That You Have The Following:

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.

Benefits

  • Subsidized health plans, dental and vision coverage
  • 401k retirement savings plan with company match
  • Life Insurance
  • Paid Time Off (PTO)
  • Education Assistance
  • Required Education: High School Diploma or equivalent
  • Our Comprehensive Benefits Package Includes The Following:
  • We offer our employees great benefits and rewards.
  • You will be eligible to participate in the benefits the first of the month following 28 days of employment.
  • On-site cafeterias and fitness centers in major locations

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.
Apply directly at Ourhrconnect →Create a free account for alerts like thisView Ourhrconnect immigration profile

This listing is sourced directly from Ourhrconnect's careers page and normalized into a canonical job model.