FCMB Claims Customer Service Advocate II

External

Ourhrconnect · Columbia, SC

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About the role

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. Logistics: PGBA - is a subsidiary company of BlueCross BlueShield of South Carolina. Location : This position is full-time (40 hours/week) Monday-Friday in a typical office environment. Employees are required to have flexibility work any our 8-hour shift scheduled during hours of 10AM -7PM due to contractual obligations. Training will be Monday - Friday 8:00 AM 5:00 PM for approximately 6-8 weeks. This role is located on site at 17 Technology Circle, Columbia SC Government Clearance: This position requires the ability to obtain a security clearance, which requires applicants to be a U.S. Citizen. SCA Benefit Requirements : BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act ( SCA ). Under the McNamara-O'Hara Service Contract Act (SCA), employees are required to enroll in health insurance benefits regardless of other insurance coverage. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date. Sponsorship : This position is not eligible for sponsorship now or in the future.

Responsibilities

To Qualify for This Position, You'll Need the Following:

Required Education:

A High School Diploma or equivalent

Required Work Experience:

1-year of experience including 1-year claims/appeals processing, customer service, or other related support area OR bachelor's degree in lieu of work experience.

Required Skills and Abilities:

Good Verbal and Written Communication Skills

Strong Customer Service Skills

Good Spelling, Punctuation and Grammar Skills.

Basic Business Math Proficiency.

Ability to Manage Confidential or Sensitive Information with Discretion.

Required Software and Tools:

Microsoft Office.

What We Prefer that you Have the Following:

Associate degree

(2) years-of claims processing or call center experience.

Knowledge of word processing, spreadsheet, and database software.

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.

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

Service recognition

Employee Assistance

Discounts to movies, theaters, zoos, theme parks and more

What We can Do for You:

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.

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 conduct interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the required qualification

Equal Employment Opportunity Statement

FCMB Claims Customer Service Advocate II

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