Claims and Customer Advocate

2 weeks ago


Fargo, North Dakota, United States Blue Cross Blue Shield of North Dakota Full time
Job Summary

The Claims and Customer Advocate is a critical role that requires exceptional customer service skills and attention to detail. As a representative of Blue Cross Blue Shield of North Dakota, you will be responsible for providing accurate and timely customer service and claims processing to members and providers.

Key Responsibilities
  • Respond to incoming inquiries and make outgoing calls to provide assistance, service, and education to all internal and external customers.
  • Process claims by reviewing and identifying issues such as pricing, benefits, membership, and coordination of benefits.
  • Resolve customer issues with varying complexities by utilizing multiple systems and online resources and collaborating with other internal departments.
  • Utilize critical thinking and reasoning skills to interpret correspondence and inquiries.
Requirements
  • High School Diploma/GED
  • Minimum of 1 year of customer service, office-related, insurance, healthcare, or related experience
Working Conditions

This role requires sitting, typing, and frequent use of telephones and electronic devices. The ability to work in a fast-paced environment and meet performance and quality metrics is essential.

Equal Opportunity Employer

Blue Cross Blue Shield of North Dakota is an equal opportunity employer and welcomes applications from diverse candidates.



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