Account Advocate

Position Purpose

Coordinate with relevant areas to ensure customers (agents, group administrators, members, etc.) receive outstanding customer service and to ultimately retain the customer base. Address issues as they are identified. Resolve and communicate results, concerns and/or problems to management.

Logistics

• BlueCross BlueShield of South Carolina
• Full-time (40-hours/week) Monday-Friday in a typical office environment
• 8-hour shift scheduled during normal business hours of 8:30AM-5:00PM
• Location: 4101 Percival Road, Columbia, SC 29229

To Qualify For This Position, You'll Need The Following Required Work Experience

• 4 years of directly related work experience
• Bachelor's Degree
• 4 years job related leadership experience with claims, customer service or in a healthcare setting
• 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

Required Skills and Abilities

• Knowledge of health insurance terminology and its appropriate application
• Microsoft Office

What You'll Do

• Provide comprehensive service to all assigned groups in a professional manner
• Respond 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
• Aid Marketing Representatives with eligibility issues, claims issues, and pharmacy issues on behalf of group administrators and members
• Make outreach calls to new groups and existing groups. May travel to groups and benefit fairs to assist marketing
• Train 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
• Log and track all inquiries received by email and fax. May create and run reports to identify and analyze trends or to resolve issues
• Aid in special projects as assigned by management

What We Can Do For You

• Comprehensive Benefits Package including 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

Equal Employment Opportunity Statement

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. 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. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.