Customer Service Advocate jobs at BlueCross BlueShield of South Carolina - 201 jobs

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. Description Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. This role is located on-site at 4101 Percival Rd, Columbia, SC 29229 What You'll Do: Ensure effective customer relations by responding accurately, timely, and courteously to telephone, written, web, or walk-in inquiries. Handles situations which may require adaptation of response or extensive research. Accurately documents inquiries. Initiate or processes adjustments or perform other research as needed to resolve inquiries. Coordinates with other departments to resolve problems. Responds to, research and/or assists with priority inquiries and special projects as required by management. Provide feedback to management regarding customer problems, questions and needs. Maintains accurate records on complaints and/or other customer comments and makes recommendations for changes to management. Follows through on complaints until resolved or reports to management as needed. Maintain basic knowledge of quality work instructions and company policies. Assists with process improvements through the recommendation of changes in procedures and techniques discovered during daily operations. Maintains all departmental productivity, quality, and timeliness standards. Assist with the training of new employees and cross training of coworkers. To Qualify For This Position, You'll Need The Following: Required Education: High School Diploma or equivalent Required Work Experience: 1 year of claims processing or customer service experience OR Bachelor's Degree in lieu of work experience. Required Skills and Abilities: Excellent verbal and written communication skills. Proficient spelling, punctuation, and grammar. Strong human relations and organizational skills. Ability to handle high stress situations. Good judgment. Ability to handle confidential or sensitive information with discretion. Ability to learn and operate multiple computer systems effectively and efficiently. Required Software and Tools: Basic computer operating skills. Standard office equipment. We Prefer You Have: Preferred Education: Associate Degree Preferred Work Experience: 3 years-of customer service or call center experience. Preferred Software and Other Tools: Knowledge of word processing, spreadsheet, and database software. Our Comprehensive Benefits Package Includes The Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What To Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.

We're seeking a motivated and customer-focused individual to join one of the most respected supplemental benefit organizations in North America - proudly serving families for more than 65 years. As our company continues to grow and expand into new territories, we're looking for someone who's driven, dependable, and eager to succeed in a fast-paced, supportive environment. Your Role Assist clients by providing clear information about available products and services. Address client questions regarding their coverage and benefit options. Stay current on our programs, policies, and evolving services. Review existing plans to ensure clients are receiving the most cost-effective solutions. Qualifications Background in customer service, sales, or client relations preferred. Proven ability to build relationships and maintain trust. Strong organizational skills with the ability to multitask and prioritize effectively. Positive, professional attitude with excellent communication skills (written and verbal). Ideal Candidate Self-starter with an entrepreneurial mindset and strong sense of accountability. Works well independently and thrives as part of a team. Performs well under pressure and maintains professionalism in all interactions. What's Included Comprehensive hands-on training and ongoing mentorship. Weekly pay, bonuses, and long-term residual income potential. Company-sponsored trips and recognition opportunities. 100% remote position offering flexibility and balance. If you're ready to start a rewarding career helping families while enjoying the benefits of remote work and consistent growth, apply today to learn more about joining our team. Powered by JazzHR

We are looking for an individual with great customer service skills for one of the main supplemental benefits companies in the nation for over 65 years! The Company is expanding in our territories and we are in immediate need of dedicated Benefits Representatives with ambitious goals. Responsibilities: Helping customers by providing product and service information Answer customer questions regarding their coverage Develop and maintain a knowledge base of the evolving products and services Regularly review these agreements in an effort to develop a more cost-effective plan Qualifications: Previous experience in customer service, sales, or other related fields Ability to build rapport with clients Ability to prioritize and multitask Positive and professional demeanor Excellent written and verbal communication skills What are we looking for in a candidate? A sharp individual with an entrepreneurial mindset An individual that is a team player and works well under pressure An individual with professional communication skills Benefits Hands on training Weekly pay Bonuses Residual income Company paid trips Remote Apply now to learn more about what we do and how you can be a part of our team today! Powered by JazzHR

About the job Customer Service Specialist - Work From Home About Us We are the worlds only 100% union-label supplemental benefits provider, proudly serving over 40,000 unions and associations worldwide. For more than 60 years, weve specialized in delivering supplemental and permanent benefit solutions to hardworking families who depend on us for financial protection and peace of mind. Position Overview Were seeking motivated, service-oriented individuals to join our remote team. Youll work directly with union members who have requested benefits informationhelping them understand their options and guiding them through the enrollment process. Key Responsibilities Manage inbound and outbound calls with prospective clients Schedule and conduct virtual benefits presentations Educate members on available programs and coverage options Accurately complete applications and related documentation Maintain high service standards and organized client records Participate in ongoing leadership training and development Qualifications Excellent communication and interpersonal skills Positive, energetic, and professional attitude Customer service or sales experience (preferred, not required) Basic computer skills and comfort in a digital work environment Team player with the ability to collaborate at all levels Legally authorized to work in the U.S. or Canada What We Offer Full benefits package after initial period 100% remote work no commuting required Flexible scheduling to fit your lifestyle Weekly pay plus performance-based monthly bonuses Annual incentive trips to destinations like Cancun, the Bahamas, and Las Vegas for top performers Clear career growth paths with fast-track promotion opportunities If you're passionate about helping others, eager to grow in a supportive environment, and ready for a career that offers flexibility, growth, and high earning potential apply today and take the first step toward a meaningful future.

About the job Customer Service Associate - Work From Home Who We Are Were the worlds only 100% union-label supplemental benefits provider, proudly partnering with over 40,000 unions and associations worldwide. For more than 60 years, we've been dedicated to protecting hardworking families by providing supplemental and permanent benefit solutions they can count on for financial security. The Opportunity Were looking for driven, service-minded professionals to join our fully remote team. You'll connect with union members who have already requested benefits information explaining their options, answering questions, and guiding them through the enrollment process. No cold calling or lead chasing just meaningful conversations with people who need what we offer. Your Responsibilities Handle inbound and outbound calls with prospective clients Schedule and lead virtual benefits presentations Explain available programs and coverage options in clear, simple terms Complete all applications and documentation with accuracy Deliver outstanding service and maintain organized client records Participate in leadership training and skill development programs What You Bring Excellent communication and people skills Professional, positive, and energetic approach Customer service or sales background (preferred, not required) Basic computer skills and comfort in a virtual environment Ability to collaborate effectively with all levels of the team Legal authorization to work in the U.S. or Canada What You'll Get Full benefits package after initial period 100% remote position no commuting, no dress code Flexible scheduling that supports your lifestyle Weekly pay plus performance-based monthly bonuses Annual incentive trips to top destinations like Cancun, the Bahamas, and Las Vegas for high performers Rapid career advancement with clear promotion paths If you're ready for a rewarding career where you can help others, grow your skills, and enjoy flexibility and unlimited earning potential apply now and start building a future you're proud of.

We are looking for an individual with great customer service skills for one of the main supplemental benefits companies in the nation for over 65 years! The Company is expanding in our territories and we are in immediate need of dedicated Benefits Representatives with ambitious goals. Requirements Excellent communication skills Basic computer knowledge Work ethics Outgoing, fun & energetic with an upbeat personality Accountability and coachability Time management skills Pass a criminal background check Benefits (after 90 days) Paid weekly Bonuses Health Insurance Reimbursement Life Insurance Retirement Plan Requirements: Computer Cell phone (unlimited long distance calling) Access to Wifi Powered by JazzHR

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. Description Logistics: National Alliance - - one of BlueCross BlueShield's South Carolina subsidiary companies. Location: This position is full time (40 hours/week) Monday-Friday in a typical office environment. Employees are required to have flexibility to work any of our 8-hour scheduled shifts during the hours of 11:30 AM -8:00 PM. Training will be Monday - Friday 8:00 AM - 4:30 PM for approximately 6-8 weeks. This role is located on site at 4101 Percival Road, Columbia SC. What You'll Do: Ensures effective customer relations by responding accurately, timely, and courteously to telephone, written, web, or walk-in inquiries. Handles situations which may require adaptation of response or extensive research. 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 reports potential fraud and abuse situations. To Qualify for This Position, You'll Need the Following: Required Education: High School Diploma or equivalent Required Work Experience: 2 years of customer service experience including 1 year of claims or appeals processing experience OR Bachelor's Degree in lieu of work experience. Required Skills and Abilities: Good verbal and written communication skills. Strong customer service skills. Good spelling, punctuation and grammar skills. Basic business math proficiency. Ability to handle confidential or sensitive information with discretion. Required Software and Tools: Microsoft office Our Comprehensive Benefits Package Includes the Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401K retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Wellness program and healthy lifestyle premium discount Tuition assistance Service recognition Employee Assistance Discounts to movies, theaters, zoos, theme parks and more What We can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What to Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.

PGBA - is a subsidiary company of BlueCross BlueShield of South Carolina. Government Clearance: This position requires the ability to obtain a security clearance, which requires applicants to be a U.S. Citizen. SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). Under the McNamara-O'Hara Service Contract Act (SCA), employees are required to enroll in health insurance benefits regardless of other insurance coverage. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date. What You'll Do: 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. To Qualify for This Position, You'll Need the Following: Required Education: A High School Diploma or equivalent Required Work Experience: 1-year of experience including 1-year claims/appeals processing, customer service, or other related support area OR bachelor's degree in lieu of work experience. Required Skills and Abilities: Good Verbal and Written Communication Skills Strong Customer Service Skills Good Spelling, Punctuation and Grammar Skills. Basic Business Math Proficiency. Ability to Manage Confidential or Sensitive Information with Discretion. Required Software and Tools: Microsoft Office. What We Prefer that you Have the Following: Associate degree (2) years-of claims processing or call center experience. Knowledge of word processing, spreadsheet, and database software. Our comprehensive benefits package includes the following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401K retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Wellness program and healthy lifestyle premium discount Tuition assistance Service recognition Employee Assistance Discounts to movies, theaters, zoos, theme parks and more What We can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What to Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Management will conduct interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the required qualifications. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.

Blue Cross and Blue Shield of Vermont is looking for a Customer Service Representative to join our Federal Employment Program team. Our company culture is built on an unwavering focus on our members and giving them the best service possible. We offer a balanced, flexible workplace, an onsite gym, fitness and wellness programs, a competitive salary and full benefits package including medical and dental insurance, vision, 401k, paid time off and holidays, tuition reimbursement and student loan repayment, dependent caregiver benefits, and resources to support your ongoing personal and professional growth and development. COMPENSATION: The hourly wage for this position is $18.00/hour. Additional compensation opportunities and incentives will be detailed during the interview process. Please note that this wage listed is our good faith estimate for this role. We also offer a robust benefits package with significant value (see below). LOCATION: Blue Cross has transitioned to a hybrid workplace where employees within driving distance of our Berlin, VT office work Wednesdays in the office with flexibility to work remotely the rest of the week. Customer Service Representative Responsibilities: Complete a program comprised of classroom and on-the-job training that will provide the technical knowledge and customer service skills needed to accurately answer most member and provider questions. Learn and utilize customer service skills in order to successfully handle all customer interactions in a consistent, courteous, and professional manner. Accurately document, track, and research all inquiries in Customer Focus (CF) according to department guidelines and written procedures. Achieve a level of call volume and quality goals as set forth in the Customer Service Career Pathing Guidelines. Successful achievement of these goals will help enable to CSR to transition to a Customer Service Representative II position. Customer Service Representative Qualifications: High school graduate or equivalent required. Analytical and critical thinking skills required. Computer literacy, strong typing and spelling skills required. One to two years of successful customer service experience, preferably in a health insurance or health care setting is desired. The ability to multitask, problem solve and work independently is necessary. Customer Service Representative Benefits: Health insurance (including vision) Dental coverage (free to employees) Wellness Program 401(k) with employer match + automatic employer contribution Life Insurance Disability Insurance Combined time off (CTO) - 20 days per year + 10 paid holidays Tuition Reimbursement Student Loan Repayment Dependent Caregiver Benefits Diversity, Equity, and Inclusion: Blue Cross VT is committed to creating an inclusive environment where employees respect, appreciate, and value individual differences, both among ourselves and in our communities. We welcome applicants from all backgrounds and experiences to join us in our commitment to the health of Vermonters, outstanding member experiences, and responsible cost management for all the people whose lives we touch. Learn more about our DE&I commitment at **************************************************************** *Full job description attached to ADP job posting.

About the job Customer Service Rep - Work From Home We are the only 100% union-label supplemental benefits provider in the world, proudly serving over 40,000 unions and associations internationally. For more than 60 years, we've specialized in delivering supplemental and permanent benefit solutions to hardworking families who rely on us for financial security. Position Overview: We are looking for motivated and service-oriented individuals to join our remote team. You'll work directly with union members who have requested benefits information, helping them understand their options and guiding them through the enrollment process. Key Responsibilities: Handle inbound and outbound calls with prospective clients Set virtual appointments and conduct benefits presentations Educate clients on available programs and coverage options Complete applications and documentation with accuracy Maintain high-quality service standards and client records Participate in leadership training and development opportunities What We're Looking For: Excellent verbal communication and interpersonal skills Positive, energetic attitude and professional demeanor Strong customer service or sales background (preferred, not required) Basic computer proficiency and ability to work in a digital environment Team player who works well with all levels of the organization Legally authorized to work in the U.S. or Canada What You'll Receive: Full benefits package after initial period 100% remote work - no commuting required Flexible work schedule to fit your lifestyle Weekly pay plus performance-based monthly bonuses Annual incentive trips to destinations like Cancun, the Bahamas, Las Vegas, and more for top performers Career development and fast-track promotion opportunities If you're passionate about helping others, ready to grow in a supportive environment, and want a career that offers flexibility and high earning potential-apply today and take the first step toward a meaningful future.

Our company has moved to 100% virtual, work-from-home positions. allows you to earn an incredible living without sacrificing your family life. You'll have the flexibility to choose your working hours when it's convenient for YOU and your family. We're looking for enthusiastic individuals to assist existing and prospective clients within our organization. This position will work with multiple clients through-out the day providing outstanding service and product knowledge. Preferred Skills: • Excellent communication skills, including active listening and problem-solving • Ability to learn, adapt, and adjust on the go • Works well with others and individually • Possesses a strong work ethic and drive to succeed What you can expect: • Flexible Schedule with Weekly Pay • 100% Remote Position • Weekly Trainings lead by Top Leaders • Life Insurance • Health Insurance reimbursement • Industry-leading resources and technology * In the interest of community wellness, AO has adjusted our business operations. As such, all interviews will be conducted via Zoom video conferencing. Powered by JazzHR

We're hiring driven individuals with strong customer-focused skills to join a long-standing supplemental benefits organization that has supported working families for more than six decades. With our continued growth, we're looking for Benefits Representatives who are motivated, goal-oriented, and ready to step into a meaningful role. Your Role Guide clients through their benefit options and available programs Provide accurate information and support regarding coverage Stay informed on company offerings and policy updates Review client needs to help them find efficient and affordable solutions What You Bring Background in customer service, sales, or similar roles is helpful Strong relationship-building and communication abilities Organized, adaptable, and able to manage multiple priorities Positive attitude with professional presentation Confident in both written and verbal communication Ideal Candidates Self-starters with a business-minded approach Team players who excel in fast-paced environments Individuals who communicate clearly and professionally What You'll Receive Comprehensive training and mentorship Weekly earnings Performance bonuses Opportunity to build long-term residual income Company-sponsored travel incentives Fully remote work flexibility If you're ready for a role with growth, stability, and purpose, submit your application and discover what makes our team stand out. Powered by JazzHR

(DUE TO COVID-19 IN EFFORT TO EMBRACE SOCIAL DISTANCING THE COMPANY OVERVIEW WILL BE CONDUCTED ONLINE VIA ZOOM) We are looking for an individual with great customer service skills for one of the main supplemental benefits companies in the nation for over 65 years! The Company is expanding in our territories and we are in immediate need of dedicated Benefits Representatives with ambitious goals. Requirements Excellent communication skills Basic computer knowledge Work ethics Outgoing, fun & energetic with an upbeat personality Accountability and coachability Time management skills Pass a criminal background check Benefits (after 90 days) Paid weekly ($70,000 - $75,000 1st year average) Bonuses Health Insurance Reimbursement Life Insurance Retirement Plan Requirements: Computer Cell phone (unlimited long distance calling) Access to Wifi Powered by JazzHR

We are currently hiring for a Part-Time Claims Customer Service Advocate II to join BlueCross BlueShield of South Carolina. In this role as a Claims Customer Service Advocate II, you will be responsible for helping our customers in a timely, prompt, and accurate way to answer some of their most worrisome health care questions and claims concerns. This job can be complex and may require research as well as the ability to feel comfortable going off-script to ensure our customer's questions are answered correctly the first time. Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we have been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are committed to the same philosophy, consider joining our team! Here is your opportunity to join a dynamic team at a diverse company with secure, community roots and an innovative future. Description Position Purpose: From the moment of login, you'll be focused on proactively resolving our members' and/or providers' questions and concerns using computer-based resources to find answers. Communication via telephone, written, web, or walk-in inquiries. You will guide members and providers with their healthcare needs by explaining benefits, solving claim concerns, and helping find a doctor via telephone calls, online chats, or e-mails. At times extensive research may be needed and it may be necessary to collaborate with other departments to find the answers needed. Accurately documenting these questions is vital for the success of this role. You are the subject matter expert for this role. Your leadership team is open to your recommendations, feedback, process improvements, and assistance with special projects to make positive changes for the department. Once you have mastered this role, training and sharing your knowledge with new team members can be a rewarding part of this role. Logistics: PGBA Location: This position is part-time (min 20 hours/week) Monday-Friday in a typical office environment. This role is located at 200 North Dozier Boulevard Florence, SC 29501 United States of America. SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). As a Service Contract Act (SCA) employee, you are required to enroll in our health insurance, even if you already have other health insurance. Until your enrollment is complete, you will receive supplemental pay for health coverage. Your coverage begins on the first day of the month following 28 days of full-time employment. What You'll Do: Researches and responds to telephone inquiries according to desk procedures, ensuring that contract standards and objectives for timeliness, productivity, and quality are met. 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. 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. Completes projects and/or assignments related to claims processing and customer service functions in the department. To Qualify for This Position, You'll Need the Following: Required Education: High School Diploma or equivalent Required Work Experience: 2 years of customer service experience OR 1 year of claims or appeals processing experience and 1 year of customer service experience OR Bachelor's Degree in lieu of work experience. Required Skills and Abilities: Good verbal and written communication skills. Strong customer service skills. Good spelling, punctuation and grammar skills. Basic business math proficiency. Ability to handle confidential or sensitive information with discretion. Required Software and Other Tools: Microsoft Office. Work Environment: Typical office environment. We Prefer That You Have The Following: Strong human relations and organizational skills, with a demonstrated ability to handle high-stress intense situations and conversations. Good judgment and the ability to handle confidential or sensitive information with discretion. Ability to learn. Our Comprehensive Benefits Package Includes The Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.

Responsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Description Job Description From the moment of login, you'll be focused on proactively resolving our members' and/or providers' questions and concerns using computer-based resources to find answers. Communication via telephone, written, web, or walk-in inquiries. You will guide members and providers with their healthcare needs by explaining benefits, solving claim concerns, and helping find a doctor via telephone calls, online chats, or e-mails. At times extensive research may be needed and it may be necessary to collaborate with other departments to find the answers needed. Accurately documenting these questions is vital for the success of this role. You are the subject matter expert for this role. Your leadership team is open to your recommendations, feedback, process improvements, and assistance with special projects to make positive changes for the department. Once you have mastered this role, training and sharing your knowledge with new team members can be a rewarding part of this role. Logistics: PGBA Location: This position is full-time (40 hours/week) Monday-Friday in a typical office environment. Employees are required to have the flexibility to work any of our 8-hour shift scheduled during our normal business hours. It may be necessary, given the business need to work occasional overtime and weekends. This role is located at 200 North Dozier Boulevard Florence, SC 29501 United States of America. SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). As a Service Contract Act (SCA) employee, you are required to enroll in our health insurance, even if you already have other health insurance. Until your enrollment is complete, you will receive supplemental pay for health coverage. Your coverage begins on the first day of the month following 28 days of full-time employment. What You'll Do: Researches and responds to telephone inquiries according to desk procedures, ensuring that contract standards and objectives for timeliness, productivity, and quality are met. 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. 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. Completes projects and/or assignments related to claims processing and customer service functions in the department. To Qualify for This Position, You'll Need the Following: Required Education: High School Diploma or equivalent Required Work Experience: 2 years of customer service experience OR 1 year of claims or appeals processing experience and 1 year of customer service experience OR Bachelor's Degree in lieu of work experience. Required Skills and Abilities: Good verbal and written communication skills. Strong customer service skills. Good spelling, punctuation and grammar skills. Basic business math proficiency. Ability to handle confidential or sensitive information with discretion. Required Software and Other Tools: Microsoft Office. Work Environment: Typical office environment. We Prefer That You Have The Following: Strong human relations and organizational skills, with a demonstrated ability to handle high-stress intense situations and conversations. Good judgment and the ability to handle confidential or sensitive information with discretion. Ability to learn. Our Comprehensive Benefits Package Includes The Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.

Responsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Description PGBA - is a subsidiary company of BlueCross BlueShield of South Carolina. Location: This position is full-time (40 hours/week) Monday-Friday in a typical office environment. Employees are required to have flexibility work any our 8-hour shift scheduled during hours of 10AM -7PM. Training will be Monday - Friday 8:00 AM - 4:30/5:00 PM for approximately 6-8 weeks. This role is located on site at 17 Technology Circle, Columbia SC Government Clearance: This position requires the ability to obtain a security clearance, which requires applicants to be a U.S. Citizen. SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act ( SCA ). Under the McNamara-O'Hara Service Contract Act (SCA), employees are required to enroll in health insurance benefits regardless of other insurance coverage. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date. What You'll Do: 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. To Qualify for This Position, You'll Need the Following: Required Education: A High School Diploma or equivalent Required Work Experience: 1-year of experience including 1-year claims/appeals processing, customer service, or other related support area OR bachelor's degree in lieu of work experience. Required Skills and Abilities: Good Verbal and Written Communication Skills Strong Customer Service Skills Good Spelling, Punctuation and Grammar Skills. Basic Business Math Proficiency. Ability to Manage Confidential or Sensitive Information with Discretion. Required Software and Tools: Microsoft Office. What We Prefer that you Have the Following: Associate degree (2) years-of claims processing or call center experience. Knowledge of word processing, spreadsheet, and database software. Our comprehensive benefits package includes the following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401K retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Wellness program and healthy lifestyle premium discount Tuition assistance Service recognition Employee Assistance Discounts to movies, theaters, zoos, theme parks and more What We can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What to Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Management will conduct interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the required qualifications. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.

As a customer service agent you are the first impression of a passengers airport experience. Customer Service positions encompass checking in and ticketing passengers, escorting passengers to and from aircraft, and resolving customer complaints. Proficient use of a computer is needed as well as EXCELLENT customer assistance to passengers. This position requires working in a fast paced environment with time constraints to meet published departure goals. A professional and positive image must be consistently displayed by the employee. Responsibilities: Able to greet and assist all customers in a prompt, friendly, and courteous manner over the phone and in person. Must be able to announce both incoming and outbound flights. Handle credit cards, and personal check transactions with accuracy and properly account for all collections and conduct the appropriate airline close out procedures. Accept and process checked baggage weighing up to 100 lbs. and placed on conveyor belts. Agents are also required to operate jetways to place them in position prior to aircraft arrival and lifting, opening, closing, and securing aircraft doors. Use airline computer systems to provide flight arrival and departure information, ticketing and flight boarding documents, lost or damaged baggage documentation, and cargo tracking information. Able to stand and work in one location for up to four hours at a time. You may be responsible for escorting unaccompanied minors and disabled passengers throughout the airport. Work independently without direct supervision. Requirements: Must be at least 18 years of age Must have a high school diploma, GED, or equivalent work experience, and a high degree of attention to detail. Ability to read, speak, and understand the English language. Ability to stand for long periods of time Must possess good communication skills and a friendly, outgoing personality in person and via telephone. Possess entry-level computer skills Occasionally lift bags or items weighing between 50 and 70 pounds Pass an extensive post offer pre-employment background check, including fingerprinting and a criminal history record check required by federal law Must be able to work nights, weekends, and holidays

As a customer service agent you are the first impression of a passengers airport experience. Customer Service positions encompass checking in and ticketing passengers, escorting passengers to and from aircraft, and resolving customer complaints. Proficient use of a computer is needed as well as EXCELLENT customer assistance to passengers. This position requires working in a fast paced environment with time constraints to meet published departure goals. A professional and positive image must be consistently displayed by the employee. Responsibilities: Able to greet and assist all customers in a prompt, friendly, and courteous manner over the phone and in person. Must be able to announce both incoming and outbound flights. Handle credit cards, and personal check transactions with accuracy and properly account for all collections and conduct the appropriate airline close out procedures. Accept and process checked baggage weighing up to 100 lbs. and placed on conveyor belts. Agents are also required to operate jetways to place them in position prior to aircraft arrival and lifting, opening, closing, and securing aircraft doors. Use airline computer systems to provide flight arrival and departure information, ticketing and flight boarding documents, lost or damaged baggage documentation, and cargo tracking information. Able to stand and work in one location for up to four hours at a time. You may be responsible for escorting unaccompanied minors and disabled passengers throughout the airport. Work independently without direct supervision. Requirements: Must be at least 18 years of age Must have a high school diploma, GED, or equivalent work experience, and a high degree of attention to detail. Ability to read, speak, and understand the English language. Ability to stand for long periods of time Must possess good communication skills and a friendly, outgoing personality in person and via telephone. Possess entry-level computer skills Occasionally lift bags or items weighing between 50 and 70 pounds Pass an extensive post offer pre-employment background check, including fingerprinting and a criminal history record check required by federal law Must be able to work nights, weekends, and holidays

As a customer service agent you are the first impression of a passengers airport experience. Customer Service positions encompass checking in and ticketing passengers, escorting passengers to and from aircraft, and resolving customer complaints. Proficient use of a computer is needed as well as EXCELLENT customer assistance to passengers. This position requires working in a fast paced environment with time constraints to meet published departure goals. A professional and positive image must be consistently displayed by the employee. Responsibilities: Able to greet and assist all customers in a prompt, friendly, and courteous manner over the phone and in person. Must be able to announce both incoming and outbound flights. Handle credit cards, and personal check transactions with accuracy and properly account for all collections and conduct the appropriate airline close out procedures. Accept and process checked baggage weighing up to 100 lbs. and placed on conveyor belts. Agents are also required to operate jetways to place them in position prior to aircraft arrival and lifting, opening, closing, and securing aircraft doors. Use airline computer systems to provide flight arrival and departure information, ticketing and flight boarding documents, lost or damaged baggage documentation, and cargo tracking information. Able to stand and work in one location for up to four hours at a time. You may be responsible for escorting unaccompanied minors and disabled passengers throughout the airport. Work independently without direct supervision. Requirements: Must be at least 18 years of age Must have a high school diploma, GED, or equivalent work experience, and a high degree of attention to detail. Ability to read, speak, and understand the English language. Ability to stand for long periods of time Must possess good communication skills and a friendly, outgoing personality in person and via telephone. Possess entry-level computer skills Occasionally lift bags or items weighing between 50 and 70 pounds Pass an extensive post offer pre-employment background check, including fingerprinting and a criminal history record check required by federal law Must be able to work nights, weekends, and holidays