Experienced Claims Customer Service Advocate I - Part Time
🌍 Remote, USA
🎯 Full-time
🕐 Posted Recently
Job Description
At arenaflex, we're dedicated to delivering exceptional service to our customers, and we're looking for a talented Claims Customer Service Advocate I to. As a part-time Claims Customer Service Advocate I, you'll play a vital role in responding to routine inquiries, identifying incorrectly processed claims, and ensuring that our customers receive the best possible service. Why Join arenaflex? For over seven decades, arenaflex has been a part of the national landscape, with our roots firmly embedded in the South Carolina community.
We're the largest insurance company in South Carolina, and we're proud to be one of the nation's leading administrators of government contracts. Our diverse family of subsidiary companies allows us to build on a variety of business strengths, and we're committed to delivering outstanding service to our customers. Job DescriptionLogistics:
This part-time Claims Customer Service Advocate I opportunity is located in W@H Richland County, and candidates must reside within a two-hour radius of the Percival Rd.
office. The role involves working in a standard office setting, with part-time hours ranging from 20 to 38 per week and a flexible schedule that may include evenings and weekends. Key Responsibilities: * Respond to written and/or telephone inquiries according to desk procedures, ensuring that contract standards and objectives for timeliness, productivity, and quality are met. * Accurately document inquiries. * Identify incorrectly processed claims and process 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, guidelines, and refer these to a lead or manager for resolution.
* Identify and promptly report and/or refer suspected fraudulent activities and system errors to the appropriate departments. Qualifications: * High School Diploma or equivalent * 1 year of experience in a claims/appeals processing, customer service, or other related support area, or Bachelor's Degree in lieu of work experience * 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 * bolthires Office Preferred
Qualifications: * Teaching or training experience 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 a recruiter to verify resume specifics and salary requirements. Management will be conducting interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications. Equal Employment Opportunity Statement: arenaflex 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 [email protected] or call 1-800-288-2227, ext.
47480 with the nature of your request. Why arenaflex? At arenaflex, we're committed to delivering exceptional service to our customers, and we're looking for talented individuals who share our passion for excellence. If you're dedicated to providing outstanding service and are passionate about working in a dynamic team environment, we encourage you to apply for this exciting opportunity. : If you're ready to take your career to the next level and join a company that values excellence, innovation, and customer service, for the Claims Customer Service Advocate I position at arenaflex.
About arenaflex: arenaflex is a leading insurance company in South Carolina, and we're proud to be one of the nation's leading administrators of government contracts. Our diverse family of subsidiary companies allows us to build on a variety of business strengths, and we're committed to delivering outstanding service to our customers. Benefits of Working at arenaflex: * Competitive salary and benefits package * Opportunities for career growth and professional development * Collaborative and dynamic team environment * Recognition and rewards for outstanding performance * Comprehensive training and support * Flexible scheduling and work-life balance * Access to cutting-edge technology and tools * Opportunities for advancement and leadership development Why arenaflex is a Great Place to Work: * arenaflex is a company that values its employees and provides a supportive and inclusive work environment.
* We offer competitive salaries and benefits, as well as opportunities for career growth and professional development. * Our team is collaborative and dynamic, and we encourage open communication and feedback. * We recognize and reward outstanding performance, and we provide comprehensive training and support to help our employees succeed. * arenaflex is committed to delivering exceptional service to our customers, and we're looking for talented individuals who share our passion for excellence. Join the arenaflex Team: If you're passionate about delivering exceptional service and are looking for a dynamic team environment, for the Claims Customer Service Advocate I position at arenaflex.