Customer Service Advocate III – Part Time

BlueCross BlueShield of South Carolina

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

Posted 11/6/2026part-timeColumbia • South Carolina • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates strong customer service and claims processing capabilities, with proficiency in handling complex inquiries and maintaining accurate records. Exhibits effective communication, organizational, and analytical skills while adhering to organizational policies and procedures.

Highest-signal resume keywords

Customer Service ExperienceClaims Processing ExperienceStrong Oral And Written Communication SkillsOrganizational SkillsAnalytical Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AdjudicationBusiness Math ProficiencyResearch SkillsProblem ResolutionRecord Maintenance

Soft Skills

Ability To Handle High-Stress SituationsDiscretion With Confidential InformationPersuasion SkillsNegotiation SkillsInfluencing Skills

Tools & Technologies

Microsoft OfficeDatabase Software

Industry Keywords

Customer InquiriesProcedures And PoliciesCorrective ActionsProductivity StandardsQuality Standards

About the role

Key responsibilities & impact

Provide prompt, accurate, thorough, and courteous responses to complex customer inquiries
Research and resolve non-routine inquiries requiring deviation from standard screens, scripts, and procedures
Review and adjudicate complex or specialty claims and/or non-medical appeals
Determine whether to return, deny, or pay claims according to organizational policies and procedures
Respond to complex telephone, written, web, or walk-in inquiries
Maintain departmental productivity, quality, and timeliness standards
Initiate corrective actions, process adjustments, and additional research to resolve inquiries
Evaluate underlying causes and implement actions to prevent recurring issues
Coordinate with other departments to resolve problems
Provide management with feedback regarding customer issues
Maintain accurate records and follow inquiries through resolution
Maintain knowledge of procedures and policies
Recommend improvements to procedures and policies
Assist with training new employees and cross-training coworkers

Requirements

What you’ll need

High School Diploma or equivalent
2 years of customer service or claims processing experience OR Bachelor's Degree in lieu of work experience
Strong oral and written communication skills
Proficiency 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
Proficiency with Microsoft Office
Must be able to work Monday through Friday, 2:00 PM to 8:00 PM; schedule is not flexible
Sponsorship is not available now or in the future
Preferred: 3 years of customer service or claims processing experience
Preferred: Associate degree in any major
Preferred: ability to persuade, negotiate, or influence
Preferred: knowledge of database software
Preferred: live within 50 miles of the work site

Benefits

Comp & perks

Part-time schedule of 33 hours per week
Potential work-at-home consideration after a 90-day performance review, equipment issuance, and business-needs review
Opportunity to develop skills, advance careers, and contribute to company growth
Reasonable accommodations for disabilities, pregnancy-related conditions, and sincerely held religious beliefs
Equal employment opportunity and affirmative action programs
Overtime may be available or necessary based on business needs