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Claims Customer Service Representative Jobs in South Carolina

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
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
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 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.
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
Coordinator, Claims Customer Service
By BlueCross BlueShield of South Carolina At Columbia, SC, United States
Respond accurately and timely to inquiries from team members, including management, concerning customer inquiries, claims adjudication, appeals and other technical issues
Identify issues with procedures and processes and provides feedback to management on changes and development
Excellent verbal and written communication skills
Knowledge of claims processing procedures
Investigate and initiate resolutions to complex problems
Authorize payment recovery, claim payments, or makes claim rejections based on documented information and provisions of state or federal law
Fcmb Claims Customer Service Advocate Ii
By BlueCross BlueShield of South Carolina At Florence, SC, United States
A proven curriculum providing the knowledge you need to excel.
Our Comprehensive Benefits Package Includes
Best-in-class call center training program.
Peer coach to observe you.
Peer coach for you to observe.
A training lab where you take live calls with a training supervisor close by to answer questions.
Fcmb Claims Customer Service Advocate Ii (9-6)
By BlueCross BlueShield of South Carolina At Florence, SC, United States

10% Completes projects and/or assignments related to claims processing and customer service functions in the department.

Claims Customer Service Advocate I
By BlueCross BlueShield of South Carolina At Greenville, SC, United States
One year of medical claims experience.
Knowledge of Microsoft Office applications.
Our Comprehensive Benefits Package Includes
A high school diploma or equivalent.
Self-paced learning and instructor led training.
401(k) retirement savings plan with company match.

Are you looking for an exciting opportunity to provide exceptional customer service? We are looking for a Claims Customer Service Representative to join our team and provide outstanding service to our customers!

A Claims Customer Service Representative is responsible for providing customer service to customers who have filed a claim with an insurance company. They are responsible for answering customer inquiries, providing information about the claim process, and helping customers with the filing of their claims.

What is Claims Customer Service Representative Job Skills Required?

• Excellent customer service skills
• Knowledge of insurance policies and procedures
• Ability to handle difficult customer situations
• Strong communication and interpersonal skills
• Ability to work independently and as part of a team
• Proficiency in computer applications

What is Claims Customer Service Representative Job Qualifications?

• High school diploma or equivalent
• Previous customer service experience
• Knowledge of insurance policies and procedures
• Ability to work in a fast-paced environment

What is Claims Customer Service Representative Job Knowledge?

• Knowledge of insurance policies and procedures
• Understanding of customer service principles and practices
• Knowledge of customer service software, databases, and tools

What is Claims Customer Service Representative Job Experience?

• Previous customer service experience
• Previous experience in the insurance industry

What is Claims Customer Service Representative Job Responsibilities?

• Respond to customer inquiries and provide information about the claim process
• Assist customers with filing claims and provide updates on the status of their claims
• Resolve customer complaints in a timely and professional manner
• Maintain accurate records of customer interactions
• Follow up with customers to ensure their satisfaction with the claims process
• Monitor customer feedback and provide feedback to management