Claims Customer Service Advocate II

About the role

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.

Location: This position is full-time (40 hours/week) Monday through Friday in a typical office environment. Employees are required to have the flexibility to work any 8-hour shift scheduled between the hours of