Mindlance · 4 months ago
Claims Customer Service Advocate I
Myrtle Beach, SC
Full-time
Onsite
New Grad, Entry LevelMindlance is a company that provides staffing solutions, and they are seeking a Claims Customer Service Advocate I. The role involves responding to inquiries, processing claims, and ensuring compliance with organizational policies.
Human Resources
Responsibilities
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
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
Qualification
Required
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
Company
Mindlance
Mindlance is a Staffing and Recruiting company which provides multi-vertical staffing services
Founded in 1999
1001-5000 employees
H1B Sponsorship
Mindlance has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (71)
2024 (53)
2023 (37)
2022 (72)
2021 (36)
2020 (40)
Funding
Current Stage
Late StageLeadership Team
R
Rajat Paul Dhall
Co-Founder & Managing Director
V
Vik Kalra
Co-Founder and Managing Director
Recent News
2025-11-19
Kelly Services, Inc.
2025-05-17
2025-04-14
Company data provided by crunchbase