Claims Customer Service Advocate II (cur_1_130798@curatelyai.net)

ASK Consulting

Job Description

"All candidates must be directly contracted by ASK Consulting on their payroll and cannot be subcontracted. We are unable to provide sponsorship at this moment".

Job Title: Claims Customer Service Advocate II

Location: Columbia, SC 29229

Duration: 3 months Contract to hire

Pay Range is $17-$18/hr on W2

Job Description:

Customer Service / Claims Representative

Responsible for handling customer inquiries, researching complex issues, and reviewing claims and non-medical appeals to determine appropriate payment, denial, or return actions.
Processes claims and appeals according to contract regulations, internal guidelines, and quality standards, including verifying procedure and diagnosis codes and completing adjustments or reprocessing.
Escalates unresolved complex inquiries and complaints to leads or managers and reports potential fraud and abuse.
Requires strong communication, customer service, basic business math, Microsoft Office, and discretion with confidential information.

Education/Experience:

High School Diploma or equivalent and 2 years of customer service experience, including 1 year in claims/appeals processing, or a Bachelor's Degree in lieu of experience.

About ASK: ASK Consulting is an award-winning technology and professional services recruiting firm servicing Fortune 500 organizations nationally. With 5 nationwide offices, two global delivery centers, and employees in 42 states-ASK Consulting connects people with amazing opportunities

ASK Consulting is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all associates.

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Vacancy posted 2 days ago

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