Customer Service Advocate

1 week ago


Columbia, United States Spectraforce Technologies Full time
Title: Claims Customer Service Advocate II
Location: Columbia, SC, 29229

Time: Mon-Fri 8-4:30
Duration: 12 Months


Note:
  • Training 6 weeks onsite.
  • No option for Remote.
Duties:
  • Responsible for responding to customer inquiries.
  • Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures.
  • Performs research as needed to resolve inquiries.
  • Reviews and adjudicates claims and/or non-medical appeals.
  • Determines whether to return, deny or pay claims following organizational policies and procedures.
  • 45% 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.
  • Identifies incorrectly processed claims and processes adjustments and reprocessing actions according to department guidelines.
  • 45% Examines and processes claims and/or non-medical appeals according to business/contract regulations, internal standards and examining guidelines.
  • Enters claims into the claim system after verification of correct coding of procedures and diagnosis codes.
  • Ensures claims are processing according to established quality and production standards.
  • 10% Identifies complaints and inquiries of a complex 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.
Skills:
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 handle confidential or sensitive information with discretion. Required Software and Other Tools: Microsoft Office. Work Environment: Typical office environment.

Education:
Required Education: High School Diploma or equivalent Required Work Experience: 2 years of customer service experience including 1-year claims or appeals processing OR Bachelor‘s Degree in lieu of work experience.


  • West Columbia, United States BlueCross BlueShield of South Carolina Full time

    We are currently hiring for Customer Service Advocate II to join BlueCross BlueShield of South Carolina. In this role you will provide prompt, accurate, thorough and courteous responses to all customer inquiries. Inquiries may be non-routine and requ Customer Service, Advocate, Service, Processing, Retail, Healthcare, Customer, Management


  • West Columbia, United States BlueCross BlueShield of South Carolina Full time

    Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Performs research as needed to resolve inquiries. Description Logistics:This position is full-time (40 hours/week) Monday-Friday. The work hours and training will Customer Service, Advocate, Service, Retail, Healthcare, Customer, Skills


  • West Columbia, United States BlueCross BlueShield of South Carolina Full time

    Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Description Lo Customer Service, Advocate, Service, Processing, Retail, Healthcare, Customer, Management


  • Columbia, United States US Tech Solutions Full time

    Job Details:Job Title: Customer Service Advocate IILocation: Columbia, SC 29229Duration: 3+ Months (possible temp to hire) Job Duties:Needed requirements/experience- call center, customer service, computer knowledge, Microsoft office, critical thinking skills. Must be able to quickly navigate computer systems and able to type minimum of 35-40 WPM.Provides...


  • Columbia, United States US Tech Solutions Full time

    Job Details:Job Title: Customer Service Advocate IILocation: Columbia, SC 29229Duration: 3+ Months (possible temp to hire) Job Duties:Needed requirements/experience- call center, customer service, computer knowledge, Microsoft office, critical thinking skills. Must be able to quickly navigate computer systems and able to type minimum of 35-40 WPM.Provides...


  • West Columbia, United States BlueCross BlueShield of South Carolina Full time

    We are currently hiring for a Claims Customer Service Advocate I to join BlueCross BlueShield of South Carolina. In this role as a Customer Service Advocate I, you will be responsible for responding to routine inquiries. Identify incorrectly processe Customer Service, Claims, Advocate, Processing, Service, Retail, Healthcare, Customer


  • West Columbia, United States Carvana Full time

    We're looking for Customer Advocates with at least 2 years of customer-facing experience to build an exciting career at Carvana - the fastest-growing used automotive retailer in U.S. history and one of the four fastest companies to make the Fortune 500! Whether it's delivering happiness to customers on the driveway or getting involved in the local community,...


  • West Columbia, United States BlueCross BlueShield of South Carolina Full time

    Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Description Lo Customer Service, Advocate, HR, Service, Retail, Healthcare, Customer


  • West Columbia, United States BlueCross BlueShield of South Carolina Full time

    Provides prompt, accurate, thorough and courteous responses to all complex customer inquiries. Inquiries are typically non-routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Customer Service, Claims, Advocate, Service, Processing, Retail, Healthcare, Customer

  • Customer Advocate

    1 month ago


    Columbia, United States Safelite Group, Inc. Full time

    Does this position interest you? You should apply - even if you don't match every single requirement! We're known as an auto glass company. That's the focus of what we do. But beyond the glass, we're so much more. We'll help you build a fulfilling career and encourage you to have a life. Let us be the best place you'll ever work. The Customer Advocate is one...


  • West Columbia, United States US Tech Solutions Full time

    Job Details: Job Title: Customer Service Advocate II Location: Columbia, SC 29229 Duration: 3+ Months (possible temp to hire) Job Duties: Needed requirements/experience- call center, customer service, computer knowledge, Microsoft office, critical thinking skills. Must be able to quickly navigate computer systems and able to type minimum of 35-40 WPM....


  • Columbia, Maryland, United States Service Coordination Full time

    Job Summary: As a Community Advocate Specialist, you will provide essential support to individuals with developmental disabilities, ensuring they receive the necessary resources and services to lead fulfilling lives. Your primary objectives include establishing strong relationships, identifying individual needs, and securing ongoing support services.About...


  • West Columbia, United States Experis Full time

    Job Title: Claims Customer Service Advocate Location: 4101 Percival Road Columbia SC 29229 United States Duration: 12 months contract Pay Rate: $16/hr (On W2)We are looking for a Claims Customer Service Advocate I to join one of our Fortune 500 clients. Education &Qualifications: High School Diploma or equivalent 2 years of customer service experience...


  • West Columbia, United States Spectraforce Technologies Full time

    Title: Claims Customer Service Advocate I Location: Columbia, SC, 29229 Time: Monday-Friday 8:30am-4:00pm Duration: 6 Months Note: 30 days training PREFERRED/NICE TO HAVE skill sets/qualities: Previous Claims and Adjustments experince. Duties: Responsible for responding to routine inquiries. Identifies incorrectly processed claims and completes...


  • Columbia, Missouri, United States US Tech Solutions Full time

    Job Summary:We are seeking an experienced Customer Service Advocate II to join our team at US Tech Solutions.About the Role:This is a full-time position offering a competitive salary and excellent benefits package. The successful candidate will be responsible for providing exceptional customer service and support to clients via phone, email, and chat.Key...


  • West Columbia, United States Carvana Full time

    Carvana - JobID: 6325122 [Customer Service Representative] As a Customer Advocate (Field) at Carvana, you'll: Facilitate and coordinate the delivery of purchased vehicles to customers; Frequently interact with customers in person, by phone, email, and text; Coordinate with customers the delivery of vehicles purchased from Carvana; Keep and maintain accurate...


  • Columbia, United States US Tech Solutions Full time

    Job Description: Hours/Schedule: Monday-Friday, schedules between 8am-6pm. Training will last 4-8 weeks. Candidates must be available to work any shift between 8am-6pm. Call Center Experience, Customer Service Experience, Basic computer service skills. Able to work in a fast pace Call Center, Able to use conflict resolution skills to seek favorable results....


  • Columbia, United States US Tech Solutions, Inc. Full time

    Job Description: Hours/Schedule: Monday-Friday, schedules between 8am-6pm. Training will last 4-8 weeks. Candidates must be available to work any shift between 8am-6pm. Call Center Experience, Customer Service Experience, Basic computer service skills. Able to work in a fast pace Call Center, Able to use conflict resolution skills to seek favorable results....


  • Columbia, United States LanceSoft Full time

    Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Performs research as needed to resolve inquiries. Ensures effective customer relations by responding accurately, timely and courteously to telephone, written, web, or walk-in inquiries. Accurately documents inquiries. Initiates or processes adjustments or performs other...


  • Columbia, United States Spectraforce Technologies Full time

    Title: Customer Service Rep Location: Columbia, SC, 29229 Time: Monday through Friday (9:30am-6pm) Duration: 3 to 6 Months (Contract to Hire) Note : Onsite position only. Panel Interviews will be conducted via Microst teams. Training Hours - Monday-Friday 8:00am-4:30pm.. Training will be 4-6 weeks. Duties: Provides prompt, accurate, thorough and...