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

Location: This position is full-time (40 hours per week), Monday through Friday. Employees work an 8-hour shift scheduled between 7:30 a.m. and 5:00 p.m.

The position is onsite during training and the probationary period. Upon successful completion of training and meeting performance expectations, employees may become eligible to work remotely. This role is located at 4101 Percival Road, Columbia, SC 29229.

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

Required Degree Equivalency: 4 years job related experience or Associate's and 2 years job related experience

Required Work Experience: 4 years of directly related work experience.

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 Other Tools: Microsoft Office.

We Prefer That You Have The Following:

• Strong written communication, customer service, and data entry skills
• Marketplace Operations experience

Our Comprehensive Benefits Package Includes The Following:

We offer our employees great benefits and rewards. You will be eligible to participate in our benefits program 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 mycareer.help@bcbssc.com 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.

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