Concierge Account Advocate

35% 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.

25% 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.

20% 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.

10% Log and track all inquiries received by email and fax. May create and run reports to identify and analyze trends or to resolve issues.

10% Assist in special projects as assigned by management.

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.

Preferred Skills and Abilities: Knowledge of State and Federal laws affecting private business Health Insurance.

Work Environment: Typical office environment. Some travel may be required.

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 disabilitiesand 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.comor 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.

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