FCMB Claims Customer Service Advocate II
FCMB Claims Customer Service Advocate II
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Job Description
Summary
We are currently hiring for a 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 offscript to ensure our customers 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 nations 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 fulltime 40 hours/week) MondayFriday in a typical office environment. Employees are required to have the flexibility to work any of our 8hour shift scheduled during our normal business hours. It may be necessary given the business need to work occasional overtime and weekends. This role is located at 200 North Dozier Boulevard Florence SC 29501 United States of America.
What Youll Do:
From the moment of login youll be focused on proactively resolving our members and/or providers questions and concerns using computerbased resources to find answers. Communication via telephone written web or walkin inquiries. You will guide members and providers with their healthcare needs by explaining benefits solving claim concerns and helping find a doctor via telephone calls online chats or emails. At times extensive research may be needed and it may be necessary to collaborate with other departments to find the answers needed. Accurately documenting these questions is vital for the success of this role. You are the subject matter expert for this role. Your leadership team is open to your recommendations feedback process improvements and assistance with special projects to make positive changes for the department. Once you have mastered this role training and sharing your knowledge with new team members can be a rewarding part of this role.
To Qualify for This Position Youll 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 highstress 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 bachelors 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:
- Bestinclass 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
- Onsite 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 EVerify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.
Some states have required notifications. Heresmore 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 email or callext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a casebycase basis.
Employment Type
Full-Time
