FCMB Claims Customer Service Advocate II

Position Overview

We are currently hiring for a Claims Customer Service Advocate II at BlueCross BlueShield of South Carolina. In this role, you will help our customers by answering their most worrisome health care questions and claims concerns with prompt, accurate, and empathetic service. This position is full-time (40 hours/week) in an office environment located at 200 North Dozier Boulevard, Florence, SC 29501, USA. You may be required to work various 8-hour shifts during normal business hours, and occasional overtime and weekends may be necessary. Competitive Compensation is offered along with a robust support system and career development opportunities.

Key Responsibilities

• Proactively resolve members’ and providers’ questions using computer-based resources.
• Communicate via telephone, written correspondence, web inquiries, or in person.
• Guide healthcare needs by explaining benefits, resolving claim concerns, and assisting in finding a doctor.
• Conduct thorough research and collaborate with other departments as needed.
• Accurately document inquiries and, once experienced, train and share knowledge with new team members.

Required Qualifications

• High School Diploma or equivalent.
• Excellent verbal and written communication skills with strong proficiency in spelling, grammar, and punctuation.
• Strong human relations and organizational skills with the ability to handle high-stress, intense situations.
• Good judgment and the capacity to handle confidential or sensitive information with discretion.
• Ability to learn and adapt quickly.

Preferred Qualifications

• 2 years of customer service experience or 1 year in claims/appeals processing together with 1 year of customer service; alternatively, a bachelor's degree in lieu of work experience.

Benefits & Perks

• Training: Six weeks of training including a best-in-class call center program, peer coaching, live call training, and access to a training lab with a training supervisor.
• Benefits: Our comprehensive benefits package includes a 401(k) retirement savings plan with company match, subsidized health plans with free vision coverage, life insurance, paid annual leave (increasing with tenure), and nine paid holidays.
• On-site cafeterias, fitness centers at major locations, wellness programs, and a healthy lifestyle premium discount.
• Tuition assistance and service recognition programs.