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SalarySummary
We are currently hiring for an Account Advocate to join BlueCross BlueShield of South Carolina. In this role as Account Advocate, you will coordinate with relevant areas to ensure customers (agents, group administrators, members, etc.) receive outstanding customer service and to ultimately retain customer base. You will address issues as they are identified. Resolve and communicate results, concerns and/or problems to management.Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we have been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation’s leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are committed to the same philosophy, consider joining our team!
Here is your opportunity to join a dynamic team at a diverse company with secure, community roots and an innovative future.
Description
Logistics
This position is full time (40 hours/week) Monday-Friday 8:30-5:00 and will be located on-site at our Percival location.
What You Will 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.
- Assist 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 and 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.
- Assist in special projects as assigned by management.
To Qualify for This Position, You Will Need:
- Bachelor's degree OR 4 years job related experience OR Associate's and 2 years job related experience
- 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
- Knowledge of State and Federal laws affecting private business Health Insurance
What We Prefer You Have:
- 1 year experience with agent service call center
What We Can Do for You:
- 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.
What to Expect Next:
After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with a recruiter to verify resume specifics and salary requirements.
Management will be conducting interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.
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Equal Employment Opportunity Statement
BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.
We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.
If you need special assistance or an accommodation while seeking employment, please e-mail mycareer.help@bcbssc.com or call 1-800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.
