Register
Recruit Create CV

Claims Customer Service Advocate I Jobs

Claims Customer Service Coordinator
By BlueCross BlueShield of South Carolina At Columbia, SC, United States
Identifies issues with procedures and processes and provides feedback to management on changes and development.
Continuing education funds for additional certifications and certification renewal
You will have to work on site as needed if remote access is granted.
Trains new employees and introduces new material to all employees. Develops, updates, and maintains procedural manuals.
High School Diploma or equivalent
401(k) retirement savings plan with company match
Customer Success Advocate I
By Lumen At , Remote
Experience: 2+ years customer success or account management experience
Prioritize high volume of tasks with strong time management skills
Education Level: Bachelor's Degree or equivalent work experience
Experience working with and supporting enterprise customers and responding to needs with empathy and integrity
Strong communication and interpersonal skills with ability to build relationships within customer accounts
A high level of accuracy and attention to detail with good organizational capabilities
Claims Customer Service Advocate I
By BlueCross BlueShield of South Carolina At Columbia, SC, United States
Good verbal and written communication skills
Good spelling, punctuation, and grammar skills
Identify incorrectly processed claims and processes adjustments and reprocessing actions according to department guidelines
Examine and process claims and/or non-medical appeals according to business/contract regulations, internal standards and examining guidelines
Enter claims into the claim system after verification of correct coding of procedures and diagnosis codes
Ensure claims are processing according to established quality and production standards
Customer Service Advocate I
By BlueCross BlueShield of South Carolina At Columbia, SC, United States
Excellent verbal and written communication skills.
Strong human relations and organizational skills.
2 years-of customer service or call center experience.
Knowledge of word processing, spreadsheet, and database software.
Ensures effective customer relations by responding accurately, timely and courteously to telephone, written, web, or walk-in inquiries. Accurately documents inquiries.
Identifies and promptly reports and/or refers suspected fraudulent activities and system errors to the appropriate departments.
Claims Service Representative I - Early Response
By Automobile Club of Southern California At , Bakersfield, 93309 $25.48 - $28.02 an hour
Bachelor’s (4 year) degree preferred or equivalent combination of education and experience
No prior claims experience required
Strong oral and written communication skills
A career with growth potential
The satisfaction of knowing you provide a meaningful service to our insured who rely on you for assistance
Provide legendary customer service to our insured members
Claims Customer Service Advocate Ii
By BlueCross BlueShield of South Carolina At Columbia, SC, United States
Continuing education funds for additional certifications and certification renewal
401(k) retirement savings plan with company match
Subsidized health plans and free vision coverage
Paid annual leave – the longer you work here, the more you earn
On-site cafeterias and fitness centers in major locations
Wellness programs and healthy lifestyle premium discount
Claims Service Ambassador I (Remote)
By Wawanesa Insurance At , Fort Collins, 80526, Co $21.17 - $31.76 an hour
Good time management and organizational skills with the ability to prioritize work in a fast paced, changing environment
Exceptional customer service skills demonstrating empathy and concern for customer satisfaction
Good communication skills, both written and oral
Good investigative and analytical skills
Detail oriented with a critical degree of accuracy regarding data entry
Voluntary benefit plans – accident, hospital indemnity and critical illness
Customer Service Manager I
By Entergy At , Greenville, Ms
Minimum knowledge, skills and abilities required of the position
Manage Municipal franchises within the Region including community development, local area economic dev. & strategic marketing plans.
Preferred: 3+ years of professional experience working in related role, within a customer service environment.
This position will be filled as a Customer Service Manager I.
Resolve escalated customer issues from MPSC, Executive Complaints, Contact Center, Media, etc. working with Customer Service Support group.
Responsible for external facing storm and emergency response including mobile CIC and peer network support as needed.
Customer Service Manager I
By Entergy At Greenville, MS, United States
Minimum Knowledge, Skills And Abilities Required Of The Position
Manage Municipal franchises within the Region including community development, local area economic dev. & strategic marketing plans.
Preferred: 3+ years of professional experience working in related role, within a customer service environment.
This position will be filled as a Customer Service Manager I.
Resolve escalated customer issues from MPSC, Executive Complaints, Contact Center, Media, etc. working with Customer Service Support group.
Responsible for external facing storm and emergency response including mobile CIC and peer network support as needed.
Fcmb Claims Customer Service Advocate Ii (Part-Time)
By BlueCross BlueShield of South Carolina At Myrtle Beach, SC, United States
Identify and report potential fraud and abuse situations
Complete projects and/or assignments related to claims processing and customer service functions in the department
High School Diploma or equivalent
Ability to follow policies and procedures
Ability to review claims and appeals
Subsidized health plans, dental and vision coverage
Claims Customer Service Supervisor
By BlueCross BlueShield of South Carolina At Columbia, SC, United States
Knowledge of the benefit plans for each group.
Bachelor's degree OR 4 years of healthcare experience in customer service, provider network service, membership, billing, and/or claims/appeals processing operations.
2 years of claims/appeals, customer service, or call center experience.
Strong analytical, organizational, and judgement skills.
Strong oral and written communication skills.
Strong spelling, punctuation, and grammar skills.
Customer Service Representative - Benefit Advocate
By Trustmark At United States
Insurance, benefits, claims or medical/healthcare experience a plus, but not required.
Prior customer service experience working in a call center or in a position that entails handling calls is required.
Excellent communication skills necessary to be successful.
Please note that this position will be fully remote and open to those living within the U.S.
Handling call volumes averaging 30/calls per day and will be documenting all inquiries using our internal systems.
Working with your support team to appropriately refer unresolved inquiries or escalated calls based on customer service procedures and guidelines.
Customer Service Advocate Ii
By BlueCross BlueShield of South Carolina At Richland County, SC, United States
5 years-of experience processing and adjudicating claims.
Knowledge of mathematical and statistical concepts.
Proficient in word processing and spreadsheet applications. proficient database software skills.
Preferred Software And Other Tools
We Prefer That You Have
Customer Service Associate I
By UST HealthProof At United States
Maintain a fully comprehensive understanding of the covered benefits, coding and reimbursement policies, and contracts.
Excellent verbal and written communication skills.
Attention to detail and problem-solving skills
Some experience in a customer service setting preferred
1-3+ years of relevant professional experience in Healthcare claims operations or 2-3+ years of relevant experience in a Call Center environment
Previous Health Care Call Center/Customer Service Experience.
Customer Support Advocate I
By ACT At United States
High School Diploma, or an equivalent combination of education and experience from which comparable knowledge and abilities can be acquired
Experience with or knowledge of Customer Relationship Management platforms and tools
Use a Customer Relationship Management (CRM) tool to maintain records of customer interactions, transaction, comments, and complaints
Experience working in the education industry highly desirable
Basic experience using office productivity software tools (such as Microsoft Office) or other computer technologies
Ability to develop and maintain positive working relationships with customers and team members, and to proactively manage customer relationships
Supervisor, Claims Customer Service
By BlueCross BlueShield of South Carolina At Columbia, SC, United States
Knowledge of the benefit plans for each group
Bachelor's degree or 4 years of healthcare experience in customer service, provider network service, membership, billing, and/or claims/appeals processing operations
2 years of claims/appeals, customer service, or call center experience
Strong analytical, organizational, and judgment skills
Strong oral and written communication skills
Strong spelling, punctuation, and grammar skills
Customer Service Advocate A1A
By CVS Health At , Columbus, Oh $17.00 - $27.90 an hour
Demonstrated organizational and communication skills required
Intermediate typing skills – 50 WPM strongly desired
Deep problem solving skills with demonstrated ownership of issue resolution
Possess top-notch people skills – listening, caring, connecting, empathy, and supporting
Strong skillset in the use of the suite of Microsoft Office tools strongly desired
Ability to multi-task, prioritize and effectively adapt to a fast paced changing environment required
Service Advocate Jobs
By CVS Health At , , Tx $17.00 - $27.90 an hour
Experience with premium payment and billing.
Prior experience working directly with members / consumers – preferably in a leading retail setting or call center setting.
Strong listening and interpersonal skills; skilled at developing and maintaining effective working relationships.
Ability to creatively solve members’ problems and have desire to help and advocate for them.
Ability to absorb and apply new and changing information.
Ability to make effective and independent decisions. Ability to multitask, prioritize and effectively adapt to a fast paced changing environment.
Claims Customer Service Advocate Iii (Remote)
By BlueCross BlueShield of South Carolina At South Carolina, United States
Provide feedback to management regarding customer issues.
Follow through on complaints until resolved or report to management as needed.
Maintain knowledge of procedures and policies.
Good verbal and written communication skills.
Good spelling, punctuation, and grammar skills.
One year of call center experience.
Provider Claims Customer Service
By CVS Health At , , Va $17.00 - $27.90 an hour

Answers questions and resolves issues based on phone calls/letters from members, providers, and plan sponsors. Triages resulting rework to appropriate staff. Provide excellent customer services for ...