Claims Customer Service Advocate II

Posted:
9/3/2024, 4:15:31 AM

Location(s):
South Carolina, United States ⋅ Columbia, South Carolina, United States

Experience Level(s):
Junior ⋅ Mid Level

Field(s):
Customer Success & Support

Workplace Type:
On-site


Summary
 

We are hiring a Customer Service Advocate II. This role provides prompt, accurate, thorough, and courteous responses to all customer inquiries. This fast-paced environment permits you the opportunity to research and resolve inquires.

The successful candidate for this position will be someone who pays strong attention to detail and is comfortable working in a high volume, fast-paced environment.

Join us and be part of the National Alliance team that provides world-class service for health plan members nationwide. A division of BlueCross BlueShield of South Carolina, National Alliance builds partnerships with other blue plans across the United States to offer health plan administration for self-funded accounts. Learn more at nationalalliance.com.


Description
 

Logistics:

This position onsite at our 4101 Percival Road location in Columbia, SC. During training the work hours will be 8am-4:30pm. After training, candidates must be available to work a shift between the hours of 8:00am and 8:00pm.

What you will do:

  • Ensures effective customer relations by responding accurately, timely, and courteously to telephone, written, web, or walk-in inquiries. Handles situations which may require adaptation of response or extensive research. Accurately documents inquiries.
  • Initiates or processes adjustments or performs other research as needed to resolve inquiries. Coordinates with other departments to resolve problems. Responds to, research and/or assists with priority inquiries and special projects as required by management.
  • Provides feedback to management regarding customer problems, questions, and needs. Maintains accurate records on complaints and/or other customer comments and makes recommendations for changes to management. Follows through on complaints until resolved or reports to management as needed.
  • Maintains basic knowledge of quality work instructions and company policies. Assists with process improvements through the recommendation of changes in procedures and techniques discovered during daily operations. Maintains all departmental productivity, quality, and timeliness standards.
  • Assist with the training of new employees and cross training of coworkers.

To Qualify for this position, you will need:

  • High School Diploma or equivalent
  • 1 year of claims processing or customer service experience
  • Bachelor's Degree in lieu of work experience.
  • Excellent verbal and written communication skills.
  • Proficient spelling, punctuation, and grammar.
  • Strong human relations and organizational skills.
  • Ability to handle high stress situations. Good judgment.
  • Ability to handle confidential or sensitive information with discretion.
  • Ability to learn and operate multiple computer systems effectively and efficiently.
  • Basic computer operating skills.
  • Standard office equipment.

What we prefer:

  • Associate degree
  • 3-years of customer service or call center experience
  • Knowledge of word processing, spread sheet and database software.

You are not alone. We are here to support you with:

  • Classroom and Lab Training
  • Best in class call center training program
  • A classroom environment, live trainer, and open discussion
  • 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.

What We Can Do for You

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 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 a recruiter to verify resume specifics and salary requirements. 

Management will be conducting interviews with the most qualified candidates, with prioritization give to those candidates who demonstrate the preferred qualifications.



 

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 [email protected] 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.

Total Dental Administrators Inc

Website: https://tdadental.com/

Headquarter Location: Phoenix, Arizona, United States

Employee Count: 101-250

Year Founded: 1995

IPO Status: Private

Industries: Dental ⋅ Health Care ⋅ Health Insurance ⋅ Insurance ⋅ Life Insurance