BlueCross BlueShield of South Carolina · 16 hours ago
Account Advocate
BlueCross BlueShield of South Carolina is seeking an Account Advocate to coordinate with various areas to ensure outstanding customer service for agents, group administrators, and members. The role involves addressing customer inquiries and issues, training staff, and assisting in special projects assigned by management.
Financial ServicesHealth CareHealth InsuranceInsuranceMedical
Responsibilities
Provides comprehensive service to all assigned groups in a professional manner. Responds 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
Assists Marketing Representatives with eligibility issues, claims issues, and pharmacy issues on behalf of group administrators and members. Makes outreach calls to new groups and existing groups. May travel to groups and benefit fairs to assist marketing
Trains 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
Logs and tracks all inquiries received by email and fax. May create and run reports to identify and analyze trends or to resolve issues
Assists in special projects assigned by management
Qualification
Required
Bachelor's degree
Four (4) years' job-related experience or Associate's and two (2) years ‘job-related experience
Four (4) years of directly related work experience
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
Knowledge of health insurance terminology and its appropriate application
Microsoft Office
Preferred
Knowledge of State and Federal laws affecting private business Health Insurance
Benefits
401(k) retirement savings plan with company match.
Subsidized health plans and free vision coverage.
Life insurance.
Paid annual leave – the longer you work here, the more you earn.
Nine paid holidays.
On-site cafeterias and fitness centers in major locations.
Wellness programs and healthy lifestyle premium discount.
Tuition assistance.
Service recognition.
Incentive Plan.
Merit Plan.
Continuing education funds for additional certifications and certification renewal.
Company
BlueCross BlueShield of South Carolina
For more than six decades, BlueCross BlueShield of South Carolina has been part of the national landscape. Our roots are firmly embedded in the state.
Funding
Current Stage
Late StageLeadership Team
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