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Facebook · 7 hours ago

FCMB Claims Customer Service Advocate II (Part-time)

Myrtle Beach, South Carolina

Full-time, Part-time

Onsite

Entry Level

2+ years exp

Facebook is seeking a Claims Customer Service Advocate II to join their team. This part-time role involves responding to inquiries related to claims or appeals, identifying incorrectly processed claims, and completing necessary adjustments and reprocessing actions.

Computer Software

No H1B

Security Clearance Required

U.S. Citizen Only

Responsibilities

Research and respond to telephone inquiries according to desk procedures, ensuring that contract standards and objectives for timeliness, productivity, and quality are met

Research and respond to written inquiries and identify incorrectly processed claims and complete the adjustment and/or reprocessing action according to department guidelines. This may include initiating, documenting, and processing the request to completion. Initiate recoupments as necessary

Identify complaints and inquiries of a complexity level that cannot be resolved following desk procedures and guidelines and refer these to a lead or manager for resolution. Identifies and reports potential fraud and abuse situations

Complete projects and/or assignments related to claims processing and customer service functions in the department

Qualification

Customer service experienceClaims processing experienceMicrosoft OfficeBusiness math proficiencyVerbal communicationWritten communicationConfidentiality

Required

High School Diploma or equivalent

2 years of customer service experience OR 1 year of claims or appeals processing experience and 1 year of customer service experience 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 handle confidential or sensitive information with discretion

Microsoft Office