Claims Customer Service Advocate II

1 month ago


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 including 1 year claims or appeals processing OR Bachelor's Degree in lieu of work experience
Responsibility
  • Responsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions.
  • Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures.
  • Responds to written and/or telephone inquiries according to desk procedures, ensuring that contract standards and objectives for timeliness, productivity, and quality are met.
  • Accurately documents inquiries. Identifies incorrectly processed claims and processes adjustments and reprocessing actions according to department guidelines.
  • 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.
  • 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 promptly reports and/or refers suspected fraudulent activities and system errors to the appropriate departments.

We are looking for the candidate who are eligible to work with any employers without sponsorship.

If you're interested, please click "Apply" button.
If you are not available or this job is not a good fit at present, please share the job details with your friends/colleagues and let me know if anyone is interested.

About ManpowerGroup, Parent Company of:Manpower, Experis, Talent Solutions, and Jefferson Wells

ManpowerGroup® (NYSE: MAN), the leading global workforce solutions company, helps organizations transform in a fast-changing world of work by sourcing, assessing, developing, and managing the talent that enables them to win. We develop innovative solutions for hundreds of thousands of organizations every year, providing them with skilled talent while finding meaningful, sustainable employment for millions of people across a wide range of industries and skills. Our expert family of brands - Manpower, Experis, Talent Solutions, and Jefferson Wells - creates substantial value for candidates and clients across more than 75 countries and territories and has done so for over 70 years. We are recognized consistently for our diversity - as a best place to work for Women, Inclusion, Equality and Disability and in 2022 ManpowerGroup was named one of the World's Most Ethical Companies for the 13th year - all confirming our position as the brand of choice for in-demand talent.

  • 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 BlueCross BlueShield of South Carolina Full time

    We are currently hiring for a Customer Service Advocate II to join BlueCross BlueShield of South Carolina. In this role as a Customer Service Advocate II, you will provide prompt, accurate, thorough, and courteous responses to all complex customer in 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 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


  • Columbia, United States ASK Staffing Full time

    "All candidates must be directly contracted by ASK Consulting on their payroll and cannot be subcontracted. We are unable to provide sponsorship at this moment".Job Title: Customer Service Advocate IILocation: Columbia SC 29229Duration: 06 Month Contract Pay Range is $13/hr. to 16/hr. on W2Job Description:Job duties:Responsible for responding to customer...


  • 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, United States LanceSoft Full time

    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....


  • Columbia, United States Spectraforce Technologies Full time

    Title: Claims Customer Service Advocate IILocation: Columbia, SC, 29229Time: Mon-Fri 8-4:30Duration: 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...


  • Columbia, United States Spectraforce Technologies Full time

    Title: Claims Customer Service Advocate IILocation: Columbia, SC, 29229Time: Mon-Fri 8-4:30Duration: 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...


  • 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...


  • Columbia, United States Spectraforce Technologies Full time

    Title: Claims Customer Service Advocate ILocation: Columbia, SC, 29229Time: Monday-Friday 8:30am-4:00pmDuration: 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 adjustments and...


  • 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


  • 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, Processing, Service, Retail, Healthcare, Customer, Management


  • 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...

  • Claims Processor II

    2 weeks ago


    West Columbia, United States Spectraforce Technologies Full time

    Title: Claims Processor II Location: Columbia, SC 29229 Duration: 12 months assignment Shift Timing: Monday- Friday 8am-4:30pm Note: In person interviews. Basic training will be 30 days, this is an inhouse position only.Duties: Reviews and adjudicates complex or specialty claims. Determines whether to return, deny or pay claims following organizational...


  • 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


  • Columbia, United States Hornet Staffing Full time

    Description: 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. 60% Ensures effective customer relations by responding accurately, timely, and courteously to...


  • Columbia, United States Hornet Staffing Full time

    Description: 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. 60% Ensures effective customer relations by responding accurately, timely, and courteously to telephone,...


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

    Job Title: Proactive Support SpecialistThe estimated salary for this position is $60,000 - $80,000 per year. This role provides an opportunity to work with a global staff augmentation firm, US Tech Solutions, Inc., that offers total workforce solutions. The ideal candidate will have 1 year of claims processing or customer service experience and possess...


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

    We are currently hiring for Customer Service Advocate I to join BlueCross BlueShield of South Carolina. In this role as a Customer Service Advocate I, provides prompt, accurate, thorough, and courteous responses to all customer inquiries. Performs re Customer Service, Advocate, Service, Processing, Retail, Healthcare, Customer, Management