New

Customer Service Advocate II Part Time 8-12-3

BlueCross BlueShield of South Carolina
life insurance, paid holidays, tuition assistance, 401(k)
United States, South Carolina, Florence
Mar 04, 2025
Summary We are currently hiring for a Part-Time Claims Customer Service Advocate II to join BlueCross BlueShield of South Carolina. In this role as a Claims Customer Service Advocate II, you will be responsible for helping our customers in a timely, prompt, and accurate way to answer some of their most worrisome health care questions and claims concerns. This job can be complex and may require research as well as the ability to feel comfortable going off-script to ensure our customer's questions are answered correctly the first time. Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we have been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina ... and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are committed to the same philosophy, consider joining our team! Here is your opportunity to join a dynamic team at a diverse company with secure, community roots and an innovative future. Description Logistics: This position is part-time (20 hours/week) Monday-Friday in a typical office environment. This role is located at 200 North Dozier Boulevard Florence, SC 29501 United States of America. What You'll Do: Researches and responds to telephone inquiries according to desk procedures, ensuring that contract standards and objectives for timeliness, productivity, and quality are met. Research and respond to written inquiries and identify incorrectly processed claims and completes the adjustment and/or reprocessing action according to department guidelines. This may include initiating, documenting, and processing the request to completion. Initiate recoupments as necessary. Identify 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. Completes projects and/or assignments related to claims processing and customer service functions in the department. What You Will Do: 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. 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. Work Environment: Typical office environment. To Qualify for This Position, You'll Need: A High School Diploma or equivalent. Excellent verbal and written communication skills including proficiency in spelling, grammar, and punctuation. Strong human relations and organizational skills, with a demonstrated ability to handle high-stress intense situations and conversations. Good judgment and the ability to handle confidential or sensitive information with discretion. Ability to learn. We Prefer That You Have: 2 years of customer service experience or 1 year of claims or appeals processing experience and 1 year of customer service experience or a bachelor's degree in lieu of work experience is preferred. What We Can Do for You: You are not alone. We are here to support you: Six weeks of training including: Best-in-class call center training program. Peer coach to observe you. Peer coach for you to observe. Open discussion conversations. A proven curriculum providing the knowledge you need to excel. A training lab where you take live calls with a training supervisor close by to answer questions. Our comprehensive benefits package includes: 401(k) retirement savings plan with company match Subsidized health plans and free vision coverage Life insurance Paid annual leave - the longer you work here, the more you earn. Nine paid holidays On-site cafeterias and fitness centers in major locations Wellness programs and a healthy lifestyle premium discount Tuition assistance Service Recognition What to Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Management will be conducting interviews with the most qualified candidates. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Some states have required notifications. Here's more information. Equal Employment Opportunity Statement 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 minorities, females, disabled individuals and 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 physical and mental disabilities. If you need special assistance or an accommodation while seeking employment, please e-mail mycareer.help@bcbssc.com or call 1-800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.