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Related keywords
- Customer Service Advocate I
- Claims Customer Service Representative
- Human Resources Customer Service Representative 9
- Bilingual Customer Service Advocate Ii
- Claims Advocate
- Claims Customer Support Advocate
- Customer Service Escalation Advocate
- Remote Customer Service Advocate
- Customer Service Representative Claims
- Claims Customer Service Advocate I
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Fcmb Claims Customer Service Advocate Ii (9-6)
Company | BlueCross BlueShield of South Carolina |
Address | Florence, SC, United States |
Employment type | FULL_TIME |
Salary | |
Category | Insurance |
Expires | 2023-06-16 |
Posted at | 11 months ago |
Summary
- 20% Research and respond to written inquiries and identify incorrectly processed claims and completes 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.
- 10% Identifies 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. Identifies and reports potential fraud and abuse situations.
- 10% Completes projects and/or assignments related to claims processing and customer service functions in the department.
- 60% Researches and responds to telephone inquiries according to desk procedures, ensuring that contract standards and objectives for timeliness, productivity, and quality are met.
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