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Customer Service Advocate III

Company: BlueCross BlueShield of South Carolina
Location: Greenville
Posted on: June 12, 2021

Job Description:


Provides prompt, accurate, thorough and courteous responses to all complex customer inquiries. Inquiries are typically non-routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries.


* 65% Responsible for accurate and timely response to complex telephone, written, web, or walk-in inquiries. Handles situations which may require adaptation of response or extensive research. Maintain all departmental productivity, quality and timeliness standards. * 15% Initiate corrective actions, process adjustments, or perform other research to resolve inquiries. Evaluate inquiries to identify underlying causes and implement actions to prevent future issues. Coordinate with other departments to resolve problems. * 10% Provide feedback to management regarding customer issues. Maintain accurate records concerning issues. Follow through on complaints until resolved or report to management as needed. * 5% Maintain knowledge of procedures and policies. Assist with process improvements by recommending improvements in procedures and policies. * 5% Assist with the training of new employees and cross training of coworkers.

Required Education:

* High School Diploma or equivalent.

Preferred Education:

* Associate Degree-Any Major.

Required Work Experience:

* Two Years Customer service or claims processing experience OR * Bachelor's Degree in lieu of work experience.

Preferred Work Experience:

* One year working in an inbound call center or medical/healthcare insurance environment. * Six Months working with Groups or Agents.

Required Skills and Abilities:

* Strong oral and written communication skills. * Proficient in spelling, punctuation, and grammar. * Strong organizational, analytical, and customer service skills. * Ability to handle high stress situations. * Basic business math proficiency. * Ability to handle confidential or sensitive information with discretion. * Ability to learn and operate multiple computer systems effectively and efficiently.

Preferred Skills and Abilities:

* Ability to prioritize tasks. * Professional email communications with customers. * Work with team members to complete tasks.

Required Software and Other Tools:

* Microsoft Office Suite.

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

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 or call 1-800-288-2227, ext. 43172 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

Keywords: BlueCross BlueShield of South Carolina, Greenville , Customer Service Advocate III, Other , Greenville, South Carolina

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