Summary
 

Coordinate with relevant areas to ensure customers (agents, group administrators, members, etc.) receive outstanding customer service and to ultimately retain customer base. Address issues as they are identified. Resolve and communicate results, concerns and/or problems to management.

Description
 

Logistics:

 National Alliance - one of BlueCross BlueShield of South Carolina subsidiary companies.

Location:

This position is full-time (40-hours/week) Monday-Friday. You will work an 8-hour flexible shift during the hours of 8:00am – 8:00pm. It may be necessary, given the business need to work occasional overtime. You may be required to travel between buildings. This role onsite is located at 4101 Percival Road, Columbia SC., 29203. There is an opportunity to W@H after a 90-day review period by management.

What You’ll 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’ll Need the Following:

• Required Education: Bachelor's degree
• Degree: Equivalency: 4 years of directly related work experience OR Associate’s and 2 years related work experience.
• Required Work Experience: 3 years of job-related work experience, including either 1 year of supervisory experience OR 1-year equivalent military experience in grade E4 or above.

• Required Skills and Abilities:
• 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.

• Required Software and Tools:
• Microsoft Office.
• Work Environment:
• This position is a full time call center role where you will be taking in bound calls on a concierge 1:1 basis the majority of the work day in a typical office setting.

What Prefer That You Have the Following:

• Previous or Current SQM World Class Customer Service Advocate.
• Minimum of 2 years of extensive claims knowledge and/or claims adjustment experience.
• Previous experience with group health insurance in a call center environment.

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
• Wellness program and healthy lifestyle premium discount
• Tuition assistance
• Service recognition
• Employee Assistance
• 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.

Management will conduct interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the required qualifications.

Salary Range:
Range Minimum
$16.11

 

Range Midpoint
 $22.90

 

Range Maximum
$29.70

 

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

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

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.