Claims Resolution Specialist II - Customer Advocate
Southcarolinablues
BlueCross BlueShield of South Carolina is seeking a claims processor in Columbia, SC. This role requires the ability to obtain a security clearance as a U.S. citizen and involves processing, researching, and adjudicating claims with strong organizational and analytical skills. The position supports health benefits operations; working knowledge of Microsoft Office is essential. Applicants must meet education and experience requirements and may be eligible for comprehensive benefits including #J-18808-Ljbffr Southcarolinablues
$18 per hour
...Description: We are seeking a customer-focused Customer Service Advocate II to handle a high volume of customer... ...interactions inquiries complaints and resolutions accurately. Process adjustments... ...customer service call center or claims processing experience ....CustomerHourly payContract workCasual workWork at officeShift work- ...High School Diploma or equivalent* **Required Work Experience:*** 2 years of experience processing, researching, and adjudicating claims.* **Required Skills and Abilities:*** Strong organizational, analytical and judgment skills.* Strong oral and written communication...CustomerFull timeContract workWork experience placementWork at office
$18 per hour
...Job Description Job Description Job Title: Customer Service Advocate II Location: Columbia, SC – Percival Road or Technology Circle Start... ...or equivalent Required Work Experience: 1 year of claims processing or customer service experience OR Bachelor's Degree...CustomerContract workWork experience placementWork at officeMonday to Friday- ...thorough and courteous responses to all customer inquiries. Inquiries may be non-routine... ...inquiries. Identifies incorrectly processed claims and processes adjustments and... ...and refers these to a lead or manager for resolution. Identifies and promptly reports and/or...CustomerFull timeContract workFor contractorsWork experience placementWork at officeLocal areaMonday to Friday
- ...The Senior Client Advocate serves as the central... ...operational levels. Works with customer to identify... ...contractual boundaries. Acts as specialists in client's business... ...solving and conflict resolution skills. Required... ...Commercial Healthcare Claims. Our...CustomerFull timeContract workFor contractorsWork experience placementSecond jobWork at officeLocal areaWorldwideNight shift
$38.32k - $42.58k
...summary description and minimum qualifications. For further information, contact Melissa Botsoe at (***) ***-**** x 3187 . Family Advocate I, II, III Full Time Greenville County, South Carolina - 08/18/2026 Contact Information Name: Melissa Botsoe Phone: (***) ***-****...Full time- Spectraforce Technologies is seeking a Client Advocate II in Columbia, SC to support Medicare operations. The role involves managing incidents, delivering services, and ensuring compliant reporting while coordinating with internal and external stakeholders. The position...
- Title: Client Advocate II Location: Columbia, SC Partial Onsite: Tuesday, Wednesday, Thursday Onsite and as Needed - Must be within a 45 minute driving range Duration: 6 Months (Possibility of conversion) C2 Clearance eligibility: Must be a US Citizen Team Our team...Work experience placementSecond jobRemote work
- ...inquiries. Identifies incorrectly processed claims and completes adjustments and related... ...refers these to a lead or manager for resolution. Identifies and promptly reports and/or... ...and written communication skills. Strong customer service skills. Good spelling punctuation...CustomerFull timeContract workWork experience placementWork at office
- ...inquiries. Identifies incorrectly processed claims and completes adjustments and related... ...refers these to a lead or manager for resolution. Identifies and promptly reports and/or... ...experience in claims/appeals processing, customer service, or other related support area OR...CustomerFull timeContract workFor contractorsWork experience placementWork at officeLocal areaMonday to FridayShift work
- ## Claims Processor IIApply: On-site: Columbia, South Carolina: Full time: Posted Today: End Date: November 4, 2026 (5 days left to apply... ...business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining...CustomerFull timeContract workFor contractorsWork experience placementWork at officeLocal areaMonday to FridayShift work
- ...remote position. Are you the One? We are looking for an Attorney II who, under the Program Manager's supervision, serves as a... ...prepare matters for hearing. When appropriate, encourages efficient resolution of cases through settlement discussions, issue narrowing, or other...Work at officeNight shiftWeekend work
- ...Analyst III. The Insurance Regulatory Analysts II in the Office of Consumer Services play... ...Licensed Insurance Producer or Insurance Customer Service Representative, servicing P&C and... ...industry, including underwriting and claims. Excellent written and verbal communication...CustomerPart timeWork at officeRemote workFlexible hoursWeekend workAfternoon shift
- Job Responsibilities Conducts intake and discharge assessments of identified infectious disease offenders and coordinates referrals based on identified healthcare needs. Coordinates specialized HIV and Hepatitis-C (HCV) discharge planning, including linkage to medical...Temporary workRemote workFlexible hours
- ...Adjusting is seeking a Field Adjuster to manage, investigate and resolve assigned property claims while delivering fair, timely resolutions to policyholders. The role emphasizes customer service, information gathering from experts, and accurate reporting on policy language...CustomerLive inRelocation
- ...Job Duties The County Attorney II provides professional legal services and representation for assigned county offices, area adoption offices, and regional Day Care licensing office, including representation in Family Court on issues relative to child protection, foster...Work at office
- Gallagher's eShepherd team seeks a Customer Success Representative to guide ranchers and livestock producers from onboarding through ongoing adoption. This remote role, based in the Southern US, requires travel across the region to ensure practical, measurable outcomes...CustomerRemote job
- Cellairis in Charleston, SC, is seeking a Brand Advocate to engage passersby, promote products, and drive immediate sales at the walk-by... ...into in-store visits and purchases. The role requires strong customer service, the ability to follow sales scripts (AIDA), and a commitment...CustomerImmediate start
- Disabled Veteran Solutions (DVS) offers a fully remote Inbound Customer Service Representative role where you support communities nationwide by delivering clear, calm service and solutions on every call. Responsibilities include handling inbound calls, basic tech troubleshooting...CustomerRemote job
- Zilmet USA is seeking a Product Support Specialist to serve as the product expert for internal teams and customers. This on-site role in Andrews, SC requires strong mechanical aptitude and hands-on problem solving across fluid handling products. You will support technical...Customer
- Charleston, South Carolina - Brand Advocate Job Title: Brand Advocate Department: Retail/Sales Reports to: Store Manager Location:... ...Drive and Urgency: Has tremendous energy and initiative to drive customers to the store and generate sales. Able to memorize scripts and...CustomerWork experience placementShift work
- ...Medicare Advantage plan, is currently seeking Provider / Member Advocates for our health plan. This is a remote position involving 90%... ...experience in healthcare payors, social services field, advocacy, customer relations, or other related industry 2+ years healthcare...CustomerFull timeWork experience placementLocal areaRemote workFlexible hours
- A legal services organization in South Carolina is seeking a qualified Prosecutor to manage criminal cases, ensure victims' rights compliance, and prepare legal documents. Ideal candidates will have a Juris Doctorate and experience in criminal litigation along with strong...
- ...Services, Inc. is hiring a remote Insurance Claim Collector with a minimum of 2 years in... ...documentation, and following claims to resolution while ensuring compliance with all... ...on accurate record-keeping and effective customer interaction. #J-18808-Ljbffr BCA Financial...CustomerRemote jobMonday to Friday
$18 - $19 per hour
...Customer Service Advocate II & III Pay: CSA II: $18.00/hour CSA III: $19.00/hour Location: Columbia, SC – Onsite Position Overview: Our healthcare client is hiring Customer Service Advocates II and III to join their growing team. These positions are...CustomerContract work- ...seeking an experienced and motivated Casualty Claims professional to join our team. This job... ...information for effective claims resolution Demonstrated ability to manage time and... ...Interpersonal skills to deal with diverse customers and situations Benefits Auto-...CustomerLocal areaWork from home
- MCI Careers is seeking licensed insurance agents in South Carolina to provide comprehensive customer service. In this role, you will assist clients in understanding their coverages and offer tailored products. Ideal candidates should have excellent communication skills...CustomerRemote job
- ...world’s best brands?Deliver innovative customer-facing solutions to clients who represent... ....PRIMARY PURPOSE OF THE ROLE To analyze claims on behalf of our valued clients to determine... ...plans to an appropriate and timely resolution by investigating and gathering information...CustomerFlexible hours
- The South Carolina Department of Health and Human Services seeks an Attorney II to serve as a hearing officer in the Appeals & Hearings unit, Richland County, in-office role. You will maintain an active caseload, conduct hearings, perform legal research, draft final orders...Work at office
- BlueCross BlueShield of South Carolina is seeking a claims specialist to respond to routine inquiries, identify incorrectly processed claims, and complete adjustments and reprocessing actions. You will review and adjudicate claims and non-medical appeals following organizational...Full timeMonday to Friday
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