Columbia, South Carolina, United States · On-site
Summary 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. De…
Skills: Claims Processing, Customer Service, Verbal Communication, Written Communication, Spelling
Columbia, South Carolina, United States · On-site
Summary 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. De…
Skills: Claims Processing, Customer Service, Verbal Communication, Written Communication, Spelling
Columbia, South Carolina, United States · On-site
The Fresh Market & You: Our mission is to make everyday eating extraordinary for our guests, and we are looking for a new team member who will commit to helping us deliver on this mission. Our added benefits for joining …
Skills: Guest Service, Merchandising, Stocking, Product Knowledge, Housekeeping
Columbia, South Carolina, United States · On-site
Overview To grow community by providing personal guest interactions that build genuine relationships with guests and result in a brand-aligned experience. Responsibilities 1. Accurately process guest’s orders to insure p…
Skills: Cash Handling, Customer Service, Order Processing, Communication Skills, Basic Mathematics
Columbia, South Carolina, United States · On-site
Overview To provide the fastest and most pleasant guest service by performing the duties related to the front porch. Responsibilities 1. Actively communicates with every guest including greeting, thanking, offering a cho…
Skills: Customer Service, Communication, Bagging, Physical Stamina, Teamwork
Columbia, South Carolina, United States · On-site
Inspire health. Serve with compassion. Be the difference. Job Summary Incumbents are responsible for aspects of Physician Practice front office management and operation as assigned. May be responsible for some or all fro…
Skills: Patient Registration, Medical Coding, Insurance Verification, Billing Process, Cashiering
Columbia, South Carolina, United States · On-site
Store - COL-HARBISON, SC Plan, coordinate, and facilitate events (including kids birthday parties) within a Michaels store to provide a stress-free, fun, and engaging experience for guests. Deliver friendly customer serv…
Skills: Event Planning, Customer Service, Childcare, Instructional Skills, Communication
Columbia, South Carolina, United States · On-site
Schulte Hospitality Group is seeking a dynamic, service-oriented Public Area Attendant to join our team! SHG is an organization whose success is rooted in its service culture. Our mission is to exude hospitality, be resp…
Skills: Cleaning, Customer Service, Verbal Communication, Teamwork, Time Management
Columbia, South Carolina, United States · On-site
Schulte Hospitality Group is seeking a dynamic, service-oriented Laundry Attendant to join our team! SHG is an organization whose success is rooted in its service culture. Our mission is to exude hospitality, be respectf…
Skills: Multi-tasking, Verbal Communication, Written Communication, Teamwork, Guest Service
Columbia, South Carolina, United States · On-site
As a Shift Lead, you’ll help ensure that every shift runs smoothly by supporting the team and delivering a great customer experience. You’ll engage with customers, assist with daily operations, uphold site standards, and…
Skills: Team Leadership, Customer Engagement, Operational Safety, Quality Control, Sales Promotion
Columbia, South Carolina, United States · On-site
At Pizza Hut, our vision is to “Connect People Through the JOY of Pizza.” As a Pizza Hut / Team SRC Team Member, you can be the smiling face that greets and serves the customers or a cook who make things happen in the ki…
Skills: Cooking, Customer Service, Teamwork, Food Preparation
Columbia, South Carolina, United States · On-site
$22/hr–$30/hr
Position Summary...As a Produce Department Lead you will drive sales in your area and supervise your team of hourly associates to deliver to our members more of what they love, for less. You will model expertise in Produ…
Skills: Team Leadership, Inventory Management, Produce Knowledge, Staff Supervision, Operational Excellence
Columbia, South Carolina, United States · On-site
At Pizza Hut, our vision is to “Connect People Through the JOY of Pizza.” As a Pizza Hut / Team SRC Team Member, you can be the smiling face that greets and serves the customers or a cook who make things happen in the ki…
Skills: Customer Service, Cooking, Teamwork, Communication, Positive Attitude
Columbia, South Carolina, United States · On-site
AutoZone’s store teams are the frontline of WOW! Customer Service, ensuring that customers find the right parts and solutions for their automotive needs. Store employees maintain well-stocked inventory, assist customers …
Skills: Customer Service, Sales, Automotive Parts Knowledge, Communication, Inventory Management
Columbia, South Carolina, United States · On-site
AutoZone’s store teams are the frontline of WOW! customer service, ensuring that customers find the right parts and solutions for their automotive needs. Store employees maintain well-stocked inventory, assist customers …
Skills: Safe Driving, Customer Service, Automotive Parts Knowledge, Heavy Lifting, Communication
Columbia, South Carolina, United States · On-site
AutoZone’s Store Management team drives store performance, fosters a productive team, and ensures exceptional customer service. Managers and MITs play a key leadership role, expected to Live The Pledge and deliver WOW! C…
Skills: Leadership, Decision-Making, Customer Service, Sales Performance, Team Development
Columbia, South Carolina, United States · On-site
One Federal Solution is seeking Credentialing Specialists to support a large federal identity credentialing program. The Credentialing Specialist will perform credential enrollment, issuance, activation, inventory manage…
Skills: Credential Enrollment, Identity Management, Customer Service, Inventory Management, Microsoft Office Suite
Columbia, South Carolina, United States · On-site
Raines Co. - Your Future is Now! Position Summary: The Bartender is responsible for providing the highest quality of service to guests in an attentive, courteous, and efficient manner. Service guests by fulfilling their …
Skills: Mixology, Customer Service, Cash Handling, Micros POS, Suggestive Selling
Columbia, South Carolina, United States · On-site
Raines Co. - Your Future is Now! Position Summary: The Banquet Bartender is responsible for providing the highest quality of service to guests in an attentive, courteous, and efficient manner. Service guests by fulfillin…
Skills: Mixology, Customer Service, Cash Handling, Micros POS, Suggestive Selling
Columbia, South Carolina, United States · On-site
Overview At RPM, we’re in the business of extraordinary. We believe people-first is the way to success which is why we provide top industry pay, comprehensive benefits, and a path of upward mobility via career training a…
Skills: Property Management, Resident Relations, Interpersonal Skills, Staff Supervision, Budget Preparation
Columbia, South Carolina, United States • On-site
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The role involves responding to routine correspondence and telephone inquiries regarding claims or appeals while ensuring contract standards for quality and timeliness are met. The advocate is also responsible for identifying incorrectly processed claims and performing necessary adjustments and reprocessing actions.
Candidates must have a high school diploma and one year of experience in claims processing or customer service, or a bachelor's degree in lieu of experience. Proficiency in Microsoft Office and strong communication skills are required.
PGBA – is a subsidiary company of BlueCross BlueShield of South Carolina.
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 9AM –6PM due to contractual obligations. Training will be Monday – Friday 8:00 AM 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.
Sponsorship: This position is not eligible for sponsorship now or in the future.
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.
A High School Diploma or equivalent
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.
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.
Microsoft Office.
Associate degree
(2) years-of claims processing or call center experience.
Knowledge of word processing, spreadsheet, and database software.
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
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.
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 qualification
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 mycareer.help@bcbssc.com 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.
South Carolina’s largest and oldest health insurance company
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.
Offices: I-20 E at Alpine Road, Columbia, South Carolina 29219, US
There are currently 1,222 open customer service & support positions in Columbia, SC listed on Clera. New openings are added daily as companies post roles.
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