Customer Service Advocate I

BlueCross BlueShield of South Carolina

. Provide prompt, accurate, thorough, and courteous responses to customer inquiries .

Posted 10/22/2026full-timeColumbia • South Carolina • United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in claims processing and customer service, with a strong focus on accuracy, quality, and adherence to business regulations. Proficient in managing sensitive information and effectively communicating with customers to resolve inquiries.

Highest-signal resume keywords

Claims ProcessingCustomer ServiceVerbal Communication SkillsWritten Communication SkillsMicrosoft Office

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ProcessingAppeals ProcessingBasic Business Math ProficiencyDocumenting InquiriesVerifying Procedure and Diagnosis Coding

Soft Skills

Strong Customer Service SkillsAttention to DetailDiscretion in Handling Sensitive Information

Tools & Technologies

Microsoft OfficeWord Processing SoftwareSpreadsheet SoftwareDatabase Software

Certifications & Qualifications

High School Diploma or EquivalentAssociate Degree (Preferred)

Industry Keywords

Customer InquiriesContract StandardsFraudulent ActivitiesQuality StandardsCall Center Experience

About the role

Key responsibilities & impact

Provide prompt, accurate, thorough, and courteous responses to customer inquiries
Research inquiries as needed to resolve them
Respond to written and telephone inquiries according to desk procedures
Meet contract standards for timeliness, productivity, and quality
Document inquiries accurately
Identify incorrectly processed claims and process adjustments and reprocessing actions
Examine and process claims and non-medical appeals according to business and contract regulations
Enter claims into the claim system after verifying procedure and diagnosis coding
Meet established quality and production standards
Identify complex complaints and inquiries and refer unresolved matters to a lead or manager
Report or refer suspected fraudulent activities and system errors to appropriate departments
Complete approximately 8–10 weeks of onsite training
Work onsite initially, with hybrid work-from-home considered after training, performance, and line-of-business needs

Requirements

What you’ll need

High School Diploma or equivalent
1 year of experience including 1 year 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 manage confidential or sensitive information with discretion
Microsoft Office
Sponsorship is not eligible now or in the future
Preferred: Associate degree
Preferred: 2 years of claims processing or call center experience
Preferred: Knowledge of word processing, spreadsheet, and database software
Full-time availability, Monday through Friday, with flexibility to work any 8-hour shift between 8:00 AM and 5:00 PM

Benefits

Comp & perks

Subsidized health plans, dental and vision coverage
401K retirement savings plan with company match
Life Insurance
Paid Time Off (PTO)
On-site cafeterias and fitness centers in major locations
Wellness program and healthy lifestyle premium discount
Tuition assistance
Service recognition
Employee Assistance
Discounts to movies, theaters, zoos, theme parks and more
Diverse and inclusive workplace with opportunities to develop skills and advance careers