Claims Customer Service Advocate II
BlueCross BlueShield of South Carolina —Columbia, SC
- Full-time
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- Mid-level
- Health insurance
- Dental insurance
General Manager
Limited Service Hotel —Columbia, SC
- $60,000 - $70,000 a year
- Overtime
- Background check
- Microsoft Excel
- Microsoft Outlook
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Restaurant Manager - TakoSushi
Food People Restaurant Group —Lexington, SC
- $50,000 - $60,000 a year
- Full-time
- Sales
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Criminal Investigator
State of South Carolina —Richland County, SC
- $61,800 - $83,400 a year
- Full-time
- Mid-level
- High school diploma or GED
- Bachelor's degree
- Paid holidays
- Disability insurance
7d
Employee Relations Consultant / 61015679
State of South Carolina —Richland County, SC
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- Monday to Friday
- Mid-level
- Master's degree
- Driver's License
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- Paid holidays
1d
Supervisory Medical Supply Technician (Sterile Processing)
US Veterans Health Administration —Columbia, SC
- $72,810 - $94,649 a year
- Online Application
- Background check
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- Computer literacy
- Paid parental leave
- Paid holidays
3d
Leasing Manager
Asset Living —Columbia, SC
- $26 - $33 an hour
- Overtime
- OSHA
- Mid-level
- Ability to climb stairs
- Paid holidays
- Disability insurance
Quick Apply
Medical Records Technician (CDIS-Outpatient and Inpatient)
US Veterans Health Administration —Columbia, SC
- $61,722 - $76,128 a year
- Online Application
- Background check
- Anatomy knowledge
- High school
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- Paid holidays
13h
Front Desk Agent
Doubletree Columbia —Columbia, SC
- $15 - $17 an hour
- Part-time
- Background check
- Hotel
- High school diploma or GED
- Health insurance
- Dental insurance
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Logistics Supervisor
Quest Diagnostics —West Columbia, SC
- From $58,656 a year
- Overtime
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Employee stock purchase plan
- Disability insurance
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Leasing Professional- The Paddock Club
TAM Residential LLC —Columbia, SC
- Clean driving record
- Basic math
- Office
- Paid holidays
- Health insurance
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Nursing Assistant (Mental Health)
US Veterans Health Administration —Columbia, SC
- $37,603 - $57,974 a year
- Part-time
- Acute care
- Background check
- Psychiatry
- Paid parental leave
- Paid holidays
7d
Server
Village Idiot Pizza | Columbia —Columbia, SC
- $10 - $20 an hour
- Part-time
- Entry level
- Flexible schedule
Quick Apply
3d
Area Manager Customer Service
Graybar Electric Company, Inc. —West Columbia, SC
- $75,000 a year
- Full-time
- 5 years
- Bachelor's degree
- Travel
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REPOST ES Child Care Licensing Specialist / 61057650
State of South Carolina —Richland County, SC
- $47,667 a year
- Monday to Friday
- Mid-level
- Office
- Driver's License
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Supervisor Of Animal Care
Richland County Government —Richland County, SC
- $25.12 - $40.15 an hour
- Full-time
- Inventory management
- Basic math
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Bartender
Village Idiot Pizza | Columbia —Columbia, SC
- $10 - $20 an hour
- Part-time
- Bar
- English
- 21 years or older
- Flexible schedule
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3d
Assistant Service Manager
Stivers Automotive Group —Columbia, SC
- $100,000 - $150,000 a year
- Full-time
- Mid-level
- High school diploma or GED
- Analysis skills
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14d
Director of Nutrition Services
Richland One School District —Columbia, SC
- $90,542.21 - $142,460.50 a year
- Full-time
- English
- 3 years
- Master's degree
- Health insurance
- Dental insurance
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1d
Member Team Lead
Sam's Club —Columbia, SC
- $22 - $30 an hour
- 18 years or older
- High school
- Merchandising
- Paid jury duty
- Disability insurance
7d

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complaints manager jobs near columbia, sc

Claims Customer Service Advocate II

BlueCross BlueShield of South Carolina -
Columbia, SC

Apply Now

Job Details

Full-time

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Customer communication
Confidential information handling
Basic math
High school diploma or GED
Grammar Experience

Full Job Description

Summary

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.

Description

Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. This role is located on-site at 17 Technology Circle, Columbia, SC 29203. OT is required.

What You’ll Do:

Ensure effective customer relations by responding accurately, timely, and courteously to telephone, written, web, or walk-in inquiries. Handle situations which may require adaptation of response or extensive research. Identify incorrectly processed claims and processes adjustments and reprocessing actions according to department guidelines.
Examine and process claims and/or non-medical appeals according to business/contract regulations, internal standards and examining guidelines. Enter claims into the claim system after verification of correct coding of procedures and diagnosis codes. Ensure claims are processing according to established quality and production standards.
Identify 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. Identify and report potential fraud and abuse situations.

To Qualify For This Position, You'll Need The Following:

Required Education: High School Diploma or equivalent
Required Work Experience: 2 years of customer service experience including 1-year claims or appeals processing OR Bachelor's Degree in lieu of work experience.
Required Skills and Abilities: 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.

Our Comprehensive Benefits Package Includes The Following:

We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.

Subsidized health plans, dental and vision coverage
401k retirement savings plan with company match
Life Insurance
Paid Time Off (PTO)
On-site cafeterias and fitness centers in major locations
Education Assistance
Service Recognition
National discounts to movies, theaters, zoos, theme parks and more

What We Can Do for You:

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

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 our recruiter to verify resume specifics and salary requirements.

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 individuals with disabilities and protected 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 disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.

If you need special assistance or an accommodation while seeking employment, please email [email protected] or call 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.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information .

Some states have required notifications. Here's more information .

Apply Now

Refine Your Search

complaints manager jobs in columbia, sc

Claims Customer Service Advocate II

General Manager

Restaurant Manager - TakoSushi

Criminal Investigator

Employee Relations Consultant / 61015679

Supervisory Medical Supply Technician (Sterile Processing)

Leasing Manager

Medical Records Technician (CDIS-Outpatient and Inpatient)

Front Desk Agent

Logistics Supervisor

Leasing Professional- The Paddock Club

Nursing Assistant (Mental Health)

Server

Area Manager Customer Service

REPOST ES Child Care Licensing Specialist / 61057650

Supervisor Of Animal Care

Bartender

Assistant Service Manager

Director of Nutrition Services

Member Team Lead

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