FCMB Claims Customer Service Advocate II
4 weeks ago
Summary As a Government Customer Service team member, you will be responsible for responding to routine correspondence and telephone inquiries on claims or appeals. Identify incorrectly processed claims and complete adjustments and related reprocessing actions. Logistics This position is on-site full-time Monday-Friday in a typical office environment. Employees are required to work from 8:00 AM to 5:00 PM. It may be necessary, given the business need to work occasional overtime and weekends. This role is located in Myrtle Beach, SC. Description Mandatory 3-month training program on site. Possibility of remote after training based upon performance. What You’ll Do: Research and respond 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, identify incorrectly processed claims, and complete 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. Identify and reports potential fraud and abuse situations. Complete projects and/or assignments related to the department's claims processing and customer service functions. The work environment is the typical office environment. You will be required to obtain a government (C-2) clearance. To Qualify for This Position, You’ll Need: High School Diploma or equivalent Two years of customer service experience OR One year of claims or appeals processing experience and one year of customer service experience OR a Bachelor's Degree in place of work experience. Answers phones Follows policies and procedures Navigates systems Processes claims Researches inquiries Reviews claims and appeals Microsoft Office knowledge What we prefer: TRICARE experience within the last two years. (May be concurrent with other experience.) What We Can Do For You: 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 conduct interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications. #J-18808-Ljbffr
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FCMB Claims Customer Service Advocate II
1 month ago
Myrtle Beach, United States BlueCross BlueShield of South Carolina Full timeWe 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 and as a Government Customer Service team member, you will be responsible for resp Customer Service, Claims, Advocate, Processing, Service, Retail, Healthcare, Customer
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FCMB Claims Customer Service Advocate II
4 weeks ago
Myrtle Beach, United States BlueCross BlueShield of South Carolina Full timeResponsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Description 60% Researches and responds Customer Service, Claims, Advocate, Processing, Service, Retail, Healthcare
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FCMB Customer Service Representative II
4 days ago
Myrtle Beach, South Carolina, United States BlueCross BlueShield of South Carolina Full timeJob SummaryWe are seeking a highly skilled and detail-oriented Customer Service Advocate II to join our team at BlueCross BlueShield of South Carolina. In this role, you will be responsible for providing exceptional customer service to our clients, responding to routine correspondence and telephone inquiries related to claims or appeals.Key...
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Claims Customer Service Advocate II
4 days ago
Myrtle Beach, South Carolina, United States BlueCross BlueShield of South Carolina Full timeJob SummaryWe are seeking a highly skilled Claims Customer Service Advocate II to join our team at BlueCross BlueShield of South Carolina. As a Claims Customer Service Advocate II, you will be responsible for providing exceptional customer service to our members by responding to routine correspondence and telephone inquiries related to claims or appeals.Key...
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Claims Customer Service Advocate III
4 weeks ago
Myrtle Beach, United States BlueCross BlueShield of South Carolina Full timeWe are currently hiring for a Claims Customer Service Advocate III to join BlueCross BlueShield of South Carolina. In this role as a Claims Customer Service Advocate III, you will provide prompt, accurate, thorough, and courteous responses to all com Customer Service, Claims, Advocate, Service, Processing, Retail, Healthcare, Customer
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Claims Support Specialist II
2 weeks ago
Myrtle Beach, South Carolina, United States BlueCross BlueShield of South Carolina Full timePosition OverviewThe Claims Support Specialist II plays a crucial role in ensuring customer satisfaction by addressing inquiries related to claims and appeals. This position involves:Responding to Inquiries: Handling routine correspondence and telephone inquiries regarding claims or appeals.Claims Adjustment: Identifying and rectifying incorrectly processed...
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Claims Customer Support Specialist II
1 week ago
Myrtle Beach, South Carolina, United States BlueCross BlueShield of South Carolina Full timePosition OverviewThe Claims Customer Support Specialist II plays a vital role in ensuring client satisfaction by addressing inquiries related to claims and appeals. This position is essential for maintaining the integrity of the claims process and enhancing customer experience.Key ResponsibilitiesCommunication: Handle routine correspondence and respond to...
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Claims Customer Service Associate I
3 weeks ago
Myrtle Beach, United States BlueCross BlueShield of South Carolina Full timeWe are currently hiring for a Claims Customer Service Advocate I to join BlueCross BlueShield of South Carolina. In this role, you will be responsible for responding to routine inquiries, identifying incorrectly processed claims and completing adjust Customer Service, Claims, Associate, Processing, Service, Retail, Healthcare, Customer
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Claims Support Specialist II
2 weeks ago
Myrtle Beach, South Carolina, United States BlueCross BlueShield of South Carolina Full timePosition OverviewThe Claims Support Specialist II plays a vital role in ensuring customer satisfaction by addressing inquiries related to claims and appeals. This position requires a keen eye for detail and a commitment to resolving issues efficiently.Key ResponsibilitiesInquiry Management: Handle routine correspondence and telephone inquiries regarding...
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Claims Customer Service Associate I
3 months ago
Myrtle Beach, United States BlueCross BlueShield of South Carolina Full timeDescription Logistics: This position is full-time (40 hours/week) in a typical office environment, Monday through Friday. There is an 8-week training period, and the hours during training are 8:00 AM—5:00 PM. Employees will work a schedule of 8:00 AM—5:00 PM/9:00 AM—6:00 PM. After completing training and meeting performance standards,...
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Customer Service Representative III
7 days ago
Myrtle Beach, South Carolina, United States BlueCross BlueShield of South Carolina Full timeWe are seeking a highly skilled Claims Customer Service Advocate III to join our team at BlueCross BlueShield of South Carolina. In this role, you will be responsible for providing exceptional customer service and support to our members. Your primary focus will be on resolving claims-related issues in a timely and accurate manner.Key Responsibilities:Respond...
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AVP, Property Claims Advocate
2 weeks ago
Satellite Beach, United States Amwins Group Full timeAVP, Property Claims Advocate(Florida)Amwins Group is conducting a candidate search looking for an AVP, Property Claims Advocate.Amwins Group, the largest wholesale brokerage and group benefits insurance administrator in the world with annual placed premiums more than $33B. Amwins is privately owned with the employees owning the majority stake. We have over...
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AVP, Property Claims Advocate
2 weeks ago
Satellite Beach, United States Amwins Group Full timeAVP, Property Claims Advocate(Florida)Amwins Group is conducting a candidate search looking for an AVP, Property Claims Advocate.Amwins Group, the largest wholesale brokerage and group benefits insurance administrator in the world with annual placed premiums more than $33B. Amwins is privately owned with the employees owning the majority stake. We have over...
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AVP, Property Claims Advocate
1 week ago
Satellite Beach, United States AmWINS Group Full timeAVP, Property Claims Advocate(Florida)Amwins Group is conducting a candidate search looking for an AVP, Property Claims Advocate.Amwins Group, the largest wholesale brokerage and group benefits insurance administrator in the world with annual placed premiums more than $33B. Amwins is privately owned with the employees owning the majority stake. We have over...
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AVP, Property Claims Advocate
7 days ago
Satellite Beach, United States Amwins Group Full timeAVP, Property Claims Advocate(must live in Florida)Amwins Group is conducting a candidate search looking for an AVP, Property Claims Advocate.Amwins Group, the largest wholesale brokerage and group benefits insurance administrator in the world with annual placed premiums more than $33B. Amwins is privately owned with the employees owning the majority stake....
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AVP, Property Claims Advocate
6 days ago
Satellite Beach, United States Amwins Group Full timeAVP, Property Claims Advocate(must live in Florida)Amwins Group is conducting a candidate search looking for an AVP, Property Claims Advocate.Amwins Group, the largest wholesale brokerage and group benefits insurance administrator in the world with annual placed premiums more than $33B. Amwins is privately owned with the employees owning the majority stake....
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Customer Delivery Advocate
2 months ago
Myrtle Beach, United States Carvana Full timeCustomer 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 d Advocate, Delivery, Customer Experience, Vehicle, Customer, Retail, Automotive
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Claims Administrator
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Deerfield Beach, Florida, United States NitroFill Full timeJob SummaryNitroFill, LLC is seeking a highly skilled Warranty Claims Administrator/Customer Service Representative to join our team. As a key member of our Tire Claims Center, you will be responsible for handling incoming customer inquiries, processing claims, and providing exceptional customer service.Key ResponsibilitiesClaims Processing: Verify customer...
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Claims Processor I/II
2 days ago
Daytona Beach, United States Brown & Brown Full timeBuilt on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Job Title: Claims Processor I/II FLSA Status: Non-Exempt Department: Insurance Services & Placement Reports to: Insurance Services & Placement Manager Location: Proctor - 166-50 Job Summary: The Claims Processor is...
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Member Services Advocate
3 days ago
Long Beach, California, United States HealthCHEC Full timeAbout the RoleWe are seeking a highly skilled and compassionate Member Services Advocate to join our team at HealthCHEC. As a Member Services Advocate, you will play a critical role in ensuring our members receive exceptional service and support.Key ResponsibilitiesMember Advocacy: Serve as a point of contact for member questions and concerns regarding...