197 claims customer service advocate jobs found

Summary We are currently hiring for a Claims Customer Service Advocate II to join BlueCross BlueShield of South Carolina. In this role as a Claims Customer Service Advocate II and as a Government Customer Service team member, you will be responsible for responding to routine correspondence and telephone inquiries on claims or appeals and identify incorrectly processed claims and complete adjustments and related reprocessing actions. 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...

Summary We are currently hiring for a Claims Customer Service Advocate II to join BlueCross BlueShield of South Carolina. In this role as a Claims Customer Service Advocate II and as a Government Customer Service team member, you will be responsible for responding to routine correspondence and telephone inquiries on claims or appeals and identify incorrectly processed claims and complete adjustments and related reprocessing actions. 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...

Full job description Summary We are hiring a Customer Service Advocate I. In this role you will be responsible for responding to responding to routine inquiries. You will identify incorrectly processed claims and completes adjustments and related reprocessing actions. You will also review and adjudicate claims and/or non-medical appeals and determine whether to return, deny or pay claims following organizational policies and procedures. The successful candidate for this position will be someone who pays strong attention to detail and is comfortable working in a high volume, fast-paced environment. Description Logistics 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 11:30am - 8pm. 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 4101 Percival...

Summary We are hiring a Customer Service Advocate I. In this role you will be responsible for responding to responding to routine inquiries. You will identify incorrectly processed claims and completes adjustments and related reprocessing actions. You will also review and adjudicate claims and/or non-medical appeals and determine whether to return, deny or pay claims following organizational policies and procedures. The successful candidate for this position will be someone who pays strong attention to detail and is comfortable working in a high volume, fast-paced environment. Description Logistics 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 – 530PM. 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 4101 Percival Road, Columbia SC What You will Do Responds to...

Summary We are hiring a Customer Service Advocate I. In this role you will be responsible for responding to responding to routine inquiries. You will identify incorrectly processed claims and completes adjustments and related reprocessing actions. You will also review and adjudicate claims and/or non-medical appeals and determine whether to return, deny or pay claims following organizational policies and procedures. The successful candidate for this position will be someone who pays strong attention to detail and is comfortable working in a high volume, fast-paced environment. Description Logistics 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 – 530PM . 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 4101 Percival Road, Columbia SC What You Will Do...

Summary 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 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 11:30am - 8pm . 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 4101 Percival Road, Columbia SC What You Will 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...

Full job description Summary Responsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures. Description Logistics: 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 8:00 AM – 5:00 PM. 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. What You will Do: Respond to written and/or telephone inquiries according to desk procedures, ensuring that contract standards and objectives for timeliness, productivity, and quality are met. Accurately document inquiries....

Summary 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 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 8 - 430. 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 4101 Percival Road, Columbia SC What You will 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...

Full job description Summary 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 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 8 - 430. 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 4101 Percival Road, Columbia SC What You will 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....

Summary Join our customer service team serving federal employees and retirees. You will be assisting these members to understand their benefits coverage and how their claims were paid. You will also process claims and do claims follow-up. Description 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’ve 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 dedicated to the same philosophy, consider joining our team! Logistics...

Summary We are currently hiring for a Claims Processor I to join BlueCross BlueShield of South Carolina. In this role as a Claims Customer Service Advocate I, you will be responsible for the accurate and timely processing of claims. 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...

Summary We are currently hiring for a Claims Processor I to join BlueCross BlueShield of South Carolina. In this role as a Claims Customer Service Advocate I, you will be responsible for the accurate and timely processing of claims. 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...

Position Overview: The job profile for this position is Scrum Master Advisor, which is a Band 4 Senior Contributor career track role. The Claims & Enrollment Applications organization is looking for a skilled and motivated leader with technology acumen, an agile software delivery mindset, and demonstrated empathic collaboration. This role will lead and coach teams for sustainability, predictability, flexibility, and attention to software quality and customer value. Success will be achieved by building rapport and trust with the team, while demonstrating reliability, attention to detail, and courage in the face of adversity with stakeholders. Key Responsibilities: Lead agile teams in the delivery of software solutions for supported core administration platforms, including QNXT and Q/CARE. Represent and advocate for teams with Agile Release Train (ART) leadership and external stakeholders. Build partnerships and collaborate to resolve blockers, mitigate risks, and manage...

Full job description Summary Position Purpose We are currently hiring for a Customer Service Advocate III to join BlueCross BlueShield of South Carolina. In this role as a Customer Service Advocate III, you will provide prompt, accurate, thorough, and courteous responses to all complex customer inquiries. Inquiries are typically non-routine and require deviation from standard screens, scripts, and procedures. Perform research as needed to resolve inquiries. Here is your opportunity to join a dynamic team at a diverse company with secure, community roots and an innovative future. Description Logistics This position is full time (40 hours/week) Monday-Friday from 8:00am – 5:00pm and will be on-site in Columbia, SC. What You Will Do: Responsible for accurate and timely response to complex telephone, written, web, or walk-in inquiries. Handles situations which may require adaptation of response or extensive research. Maintain...

DEPARTMENT OF ECONOMIC SECURITY Your Partner For A Stronger Arizona. DES works with families, community organizations, advocates and state and federal partners to realize our collective vision: A thriving Arizona. DES serves more than 3 million Arizonans. Our Mission is to strengthen individuals, families, and communities for a better quality of life. SENIOR OPERATIONS MANAGER Job Location: Child Community Services Division (CCSD) 1789 West Jefferson Street, Phoenix, Arizona 85007 Posting Details: Salary: $78,543-$100,101 Grade: 24 Closing Date: November 18, 2024 Job Summary: DES is seeking an experienced and highly motivated individual to join our team as a Administrative Services Officer 5. This position serves as a Senior Operations provides high-level leadership and direction to execute financial, operational, and strategic initiatives for the Division. The job responsibilities and accountability of this position have a high degree of...

IGNITE YOUR PASSION * IMPACT WHAT MATTERS WHO WE ARE. Breaking Boundaries for 25 years - and counting. The world is rapidly changing, and HUB is here to advise businesses and individuals on how to prepare for the unexpected. With more than 530 HUB offices across North America and ranked 5th among the world’s largest insurance brokers, our focus is dedicated to providing our customers with the peace of mind that what matters most will be protected through unrelenting advocacy and tailored insurance solutions. Our growing team of professionals across North America represents a broad, deep, and one-of-a kind aggregation of entrepreneurs and leaders recognized for their excellence throughout the insurance community. WE LOVE OUR PEOPLE & OUR PEOPLE LOVE US. We have the competitive, exciting, and friendly work environment you are seeking. We strategically position our employees for longevity and success by investing in their future and providing continuous opportunities...

DEPARTMENT OF ECONOMIC SECURITY Your Partner For A Stronger Arizona. DES works with families, community organizations, advocates and state and federal partners to realize our collective vision: A thriving Arizona. DES serves more than 3 million Arizonans. Our Mission is to strengthen individuals, families, and communities for a better quality of life. SENIOR OPERATIONS MANAGER Job Location: Child Community Services Division (CCSD) 1789 West Jefferson Street, Phoenix, Arizona 85007 Posting Details: Salary: $78,543-$100,101 Grade: 24 Closing Date: November 18, 2024 Job Summary: DES is seeking an experienced and highly motivated individual to join our team as a Administrative Services Officer 5. This position serves as a Senior Operations provides high-level leadership and direction to execute financial, operational, and strategic initiatives for the Division. The job responsibilities and accountability of this position have a high degree of...

Are you passionate about delivering exceptional customer service and have a knack for organization and attention to detail? Inchcape New Zealand is seeking a dedicated Customer Advocate to support our customer case management, with a focus on warranty processes. In this role, you'll work closely with our Authorised Dealer Network, OEMs, and internal teams to ensure smooth and efficient support for customer cases and claims. About Us Become part of the Inchcape, a global company, with a purpose to bring mobility to the world’s communities - for today, for tomorrow and for the better. With over 1,400 dedicated team members across Australia and New Zealand, our diverse portfolio includes distribution, where we proudly represent renowned brands, fulfillment, where we lead in omni-channel automotive solutions, retail, offering exceptional customer experiences, and financial services, providing tailored solutions to our brand networks, retail partners, and customers. Explore more...

Are you passionate about delivering exceptional customer service and have a knack for organization and attention to detail? Inchcape New Zealand is seeking a dedicated Customer Advocate to support our customer case management, with a focus on warranty processes. In this role, you'll work closely with our Authorised Dealer Network, OEMs, and internal teams to ensure smooth and efficient support for customer cases and claims. About Us Become part of the Inchcape, a global company, with a purpose to bring mobility to the world’s communities - for today, for tomorrow and for the better. With over 1,400 dedicated team members across Australia and New Zealand, our diverse portfolio includes distribution, where we proudly represent renowned brands, fulfillment, where we lead in omni-channel automotive solutions, retail, offering exceptional customer experiences, and financial services, providing tailored solutions to our brand networks, retail partners, and customers. Explore more...

Description There’s never been a more exciting time to join United Airlines. We’re on a path towards becoming the best airline in the history of aviation. Our shared purpose – Connecting People, Uniting the World – is about more than getting people from one place to another! It also means that as a global company that operates in hundreds of locations around the world with millions of customers and tens of thousands of employees, we have a unique responsibility to uplift and provide opportunities in the places where we work, live and fly, and we can only do that with a truly diverse and inclusive workforce. And we’re growing – in the years ahead, we’ll hire tens of thousands of people across every area of the airline! Our careers include a competitive benefits package aimed at keeping you happy, healthy and well-traveled. From employee-run "Business Resource Group" communities to world-class benefits like parental leave, 401k and privileges like space available travel,...

Full job description Position Overview: The job profile for this position is Scrum Master Advisor, which is a Band 4 Senior Contributor career track role. The Claims & Enrollment Applications organization is looking for a skilled and motivated leader with technology acumen, an agile software delivery mindset, and demonstrated empathic collaboration. This role will lead and coach teams for sustainability, predictability, flexibility, and attention to software quality and customer value. Success will be achieved by building rapport and trust with the team, while demonstrating reliability, attention to detail, and courage in the face of adversity with stakeholders. Key Responsibilities: Lead agile teams in the delivery of software solutions for supported core administration platforms, including QNXT and Q/CARE. Represent and advocate for teams with Agile Release Train (ART) leadership and external stakeholders. Build partnerships and...

Are you passionate about delivering exceptional customer service and have a knack for organization and attention to detail? Inchcape New Zealand is seeking a dedicated Customer Advocate to support our customer case management, with a focus on warranty processes. In this role, you'll work closely with our Authorised Dealer Network, OEMs, and internal teams to ensure smooth and efficient support for customer cases and claims. About Us Become part of the Inchcape, a global company, with a purpose to bring mobility to the world’s communities - for today, for tomorrow and for the better. With over 1,400 dedicated team members across Australia and New Zealand, our diverse portfolio includes distribution, where we proudly represent renowned brands, fulfillment, where we lead in omni-channel automotive solutions, retail, offering exceptional customer experiences, and financial services, providing tailored solutions to our brand networks, retail partners, and customers....

Are you passionate about delivering exceptional customer service and have a knack for organization and attention to detail? Inchcape New Zealand is seeking a dedicated Customer Advocate to support our customer case management, with a focus on warranty processes. In this role, you'll work closely with our Authorised Dealer Network, OEMs, and internal teams to ensure smooth and efficient support for customer cases and claims. About Us Become part of the Inchcape, a global company, with a purpose to bring mobility to the world’s communities - for today, for tomorrow and for the better. With over 1,400 dedicated team members across Australia and New Zealand, our diverse portfolio includes distribution, where we proudly represent renowned brands, fulfillment, where we lead in omni-channel automotive solutions, retail, offering exceptional customer experiences, and financial services, providing tailored solutions to our brand networks, retail partners, and customers....

Company : Highmark Health Job Description : JOB SUMMARY: This job collaborates with Sales Client Management and the Sales Executive team. The position will develop member transition strategies to steer the transition of members to AHN and community providers; thereby minimizing future member disruption. This position is responsible for educating members about how their insurance benefits work, the financial impact of healthcare choices, available provider/service options and the importance of getting the right care at the right time, in the right place. The incumbent will play a major role in driving change in member behavior and driving overall business outcomes from a cost of care perspective. ESSENTIAL RESPONSIBILITIES: Empower members to make informed decisions by evaluating the most appropriate type of provider for members' unique needs, assess which providers are in-network and ensure that the members are fully informed of the tools and resources available to transition to...