About this role
Summary
Coordinates with relevant areas to ensure customers (agents, group administrators, members, etc.) receive outstanding customer service and to ultimately retain customer base. Addresses issues as they are identified. Resolves and communicates results, concerns and/or problems to management.
Description
Logistics: This position is full time (40 hours/week) Monday-Friday, typical work hours between 8:30 am – 5:00 pm, based on site at the Percival Road, Columbia, SC, location.
What You Will Do:
Provides comprehensive service to all assigned groups in a professional manner. Responds to internal and external inquiries pertaining to assigned group(s) received from group administrators, internal management, providers, vendors, various internal departments, etc. Inquiries may be any question related to the assigned group(s), and may include eligibility, benefits, claims, billing, etc. Responsible for ensuring all customer inquiries are resolved in a timely manner.
Assists Marketing Representatives with eligibility issues, claims issues, and pharmacy issues on behalf of group administrators and members. Makes outreach calls to new groups and existing groups. May travel to groups and benefit fairs to assist marketing.
Trains claims/customer service staff on benefits, claims processing procedures, and/or changes specific to the assigned group(s). May support membership, ensuring correct eligibility information is available.
Logs and tracks all inquiries received by email and fax. May create and run reports to identify and analyze trends or to resolve issues.
Assists in special projects assigned by management.
To Qualify for This Position, You Will Need:
Required Education: Bachelor's degree
Required Degree Equivalency: Four (4) years’ job-related experience or Associate's and two (2) years ‘job-related experience
Required Work Experience: Four (4) years of directly related work experience.
Required Skills and Abilities: Proven ability to effectively troubleshoot. Strong interpersonal skills and demonstrated customer service orientation. Excellent time management, organizational, and priority setting skills. Excellent verbal and written communication skills. Strong analytical and problem solving skills. Ability to take initiative and to work with deadlines. Ability to work independently. Ability to adapt to continuous change in policies and procedures. Knowledge of health insurance terminology and its appropriate application.
Required Software and Tools: Microsoft Office.
We Prefer That You Have:
Preferred Skills and Abilities: Knowledge of State and Federal laws affecting private business Health Insurance
Work Environment: Typical office environment.
What We Can Do for You:
401(k) retirement savings plan with company match.
Subsidized health plans and free vision coverage.
Life insurance.
Paid annual leave – the longer you work here, the more you earn.
Nine paid holidays.
On-site cafeterias and fitness centers in major locations.
Wellness programs and healthy lifestyle premium discount.
Tuition assistance.
Service recognition.
Incentive Plan.
Merit Plan.
Continuing education funds for additional certifications and certification renewal.
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 be conducting interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Some states have required notifications. Here's more information.
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 [email protected] or call 800-288-2227, 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.
Other facts
About BlueCross BlueShield of South Carolina
For more than six decades, BlueCross BlueShield of South Carolina has been part of the national landscape. Our roots are firmly embedded in the state. We are the largest insurance company in South Carolina. We are also the only one that has an A+ Superior A.M. Best rating. We are one of the nation's leading government contract administrators. We operate one of the most sophisticated data processing centers in the Southeast and have a diverse family of subsidiary companies.
Our full-time employees enjoy benefits like a 401(k) retirement savings plan with company match, subsidized health plans, free vision coverage, life insurance, paid annual leave and holidays, wellness programs and education assistance. If you are a full-time employee in the National Guard or reserves, we will cover the difference in your pay if you are called to active duty. BlueCross has a dedicated corporate culture of community support. Our employees are some of the most giving in the country. They support dozens of nonprofit organizations every year.
If you're ready to join a diverse company with secure, community roots and an innovative future, apply for a position now!
BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association.
We are an Equal Opportunity Employer. We will consider all qualified applicants for employment 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.
What you'll do
- The Account Advocate coordinates with various areas to ensure customers receive outstanding service and addresses issues as they arise. They are responsible for resolving inquiries related to eligibility, benefits, claims, and billing in a timely manner.
Ready to join BlueCross BlueShield of South Carolina?
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