Identifies incorrectly processed claims and completes adjustments and related reprocessing actions ... It may be necessary, given the business need to work occasional overtime and weekends. This role is ...
Identifies incorrectly processed claims and completes adjustments and related reprocessing actions ... It may be necessary, given the business need to work occasional overtime and weekends. This role is ...
FCMB Customer Service Advocate II
Florence, SC · On-site +1
Identifies incorrectly processed claims and completes adjustments and related reprocessing actions ... It may be necessary, given the business need to work occasional overtime and weekends. This role is ...
FCMB Customer Service Advocate II
Florence, SC · On-site +1
Identifies incorrectly processed claims and completes adjustments and related reprocessing actions ... It may be necessary, given the business need to work occasional overtime and weekends. This role is ...
Attorney
Manhattan, NY · Hybrid
$90K - $120K/yr
Manage WTC Health Program and VCF claims from intake through award resolution. * Review medical ... Provide legal guidance to Client Advocates, collaborate with internal teams, and represent the firm ...
Quick apply
Attorney
Manhattan, NY · Hybrid
$90K - $120K/yr
Manage WTC Health Program and VCF claims from intake through award resolution. * Review medical ... Provide legal guidance to Client Advocates, collaborate with internal teams, and represent the firm ...
Member Care Advocate
Wilmington, MA · On-site
... claims. The position requires excellent telephone etiquette and email communication skills. Our ... Participate in a rotating, weekend overtime shift to ensure optimal member support Qualifications ...
Member Care Advocate
Wilmington, MA · On-site
... claims. The position requires excellent telephone etiquette and email communication skills. Our ... Participate in a rotating, weekend overtime shift to ensure optimal member support Qualifications ...
... claims. The position requires excellent telephone etiquette and email communication skills. Our ... Participate in a rotating, weekend overtime shift to ensure optimal member support Qualifications ...
... claims. The position requires excellent telephone etiquette and email communication skills. Our ... Participate in a rotating, weekend overtime shift to ensure optimal member support Qualifications ...
Work At Home-Credentialing Advocate
Concord, NC · Remote
$16/hr
... claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries ... Flexible availability, including weekends if required * Hardwired internet connection (minimum 25 ...
Work At Home-Credentialing Advocate
Concord, NC · Remote
$16/hr
... claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries ... Flexible availability, including weekends if required * Hardwired internet connection (minimum 25 ...
Work At Home-Credentialing Advocate
Concord, NC · Remote
$16/hr
... claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries ... Flexible availability, including weekends if required * Hardwired internet connection (minimum 25 ...
Work At Home-Credentialing Advocate
Concord, NC · Remote
$16/hr
... claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries ... Flexible availability, including weekends if required * Hardwired internet connection (minimum 25 ...
Customer Service Advocate
Concord, NC · On-site
May assist with filing warranty claims. * Safeguards vehicle keys and property. * Reconciles ... Scheduled shifts may include evening hours, weekends, and holidays. Physical Demands: While ...
Customer Service Advocate
Concord, NC · On-site
May assist with filing warranty claims. * Safeguards vehicle keys and property. * Reconciles ... Scheduled shifts may include evening hours, weekends, and holidays. Physical Demands: While ...
Customer Service Advocate
Concord, NC · On-site
May assist with filing warranty claims. * Safeguards vehicle keys and property. * Reconciles ... Scheduled shifts may include evening hours, weekends, and holidays. Physical Demands: While ...
Customer Service Advocate
Concord, NC · On-site
May assist with filing warranty claims. * Safeguards vehicle keys and property. * Reconciles ... Scheduled shifts may include evening hours, weekends, and holidays. Physical Demands: While ...
... claims, eligibility, disease management, utilization management, quality, and risk adjustment ... Ability to work evenings and weekends on occasion based on business needs * Ability to travel as ...
... claims, eligibility, disease management, utilization management, quality, and risk adjustment ... Ability to work evenings and weekends on occasion based on business needs * Ability to travel as ...
... claims, eligibility, disease management, utilization management, quality, and risk adjustment ... Ability to work evenings and weekends on occasion based on business needs * Ability to travel as ...
... claims, eligibility, disease management, utilization management, quality, and risk adjustment ... Ability to work evenings and weekends on occasion based on business needs * Ability to travel as ...
Attorney
Manhattan, NY · On-site
Provide legal guidance to Client Advocates and client-facing staff. * Represent the firm at ... Maintain weekend availability for client intake and lead vetting. * Perform other duties as ...
Quick apply
Attorney
Manhattan, NY · On-site
Provide legal guidance to Client Advocates and client-facing staff. * Represent the firm at ... Maintain weekend availability for client intake and lead vetting. * Perform other duties as ...
Attorney
Manhattan, NY · On-site
Provide legal guidance to Client Advocates and client-facing staff. * Represent the firm at ... Maintain weekend availability for client intake and lead vetting. * Perform other duties as ...
Quick apply
Attorney
Manhattan, NY · On-site
Provide legal guidance to Client Advocates and client-facing staff. * Represent the firm at ... Maintain weekend availability for client intake and lead vetting. * Perform other duties as ...
Attorney
Manhattan, NY · On-site
Provide legal guidance to Client Advocates and client-facing staff. * Represent the firm at ... Maintain weekend availability for client intake and lead vetting. * Perform other duties as ...
Quick apply
Attorney
Manhattan, NY · On-site
Provide legal guidance to Client Advocates and client-facing staff. * Represent the firm at ... Maintain weekend availability for client intake and lead vetting. * Perform other duties as ...
Attorney
Manhattan, NY · On-site
Provide legal guidance to Client Advocates and client-facing staff. * Represent the firm at ... Maintain weekend availability for client intake and lead vetting. * Perform other duties as ...
Attorney
Manhattan, NY · On-site
Provide legal guidance to Client Advocates and client-facing staff. * Represent the firm at ... Maintain weekend availability for client intake and lead vetting. * Perform other duties as ...
Attorney
Manhattan, NY · On-site
Provide legal guidance to Client Advocates and client-facing staff. * Represent the firm at ... Maintain weekend availability for client intake and lead vetting. * Perform other duties as ...
Quick apply
Attorney
Manhattan, NY · On-site
Provide legal guidance to Client Advocates and client-facing staff. * Represent the firm at ... Maintain weekend availability for client intake and lead vetting. * Perform other duties as ...
Residential Plumber
Cincinnati, OH · On-site
$25 - $30/hr
Ability to work extended hours, nights, or weekends and on-call * Ability to lift, push, and pull ... Medical Claims Advocacy Team- Assistance with claims, billing, and more Our PARTE Values: * P ...
Quick apply
Residential Plumber
Cincinnati, OH · On-site
$25 - $30/hr
Ability to work extended hours, nights, or weekends and on-call * Ability to lift, push, and pull ... Medical Claims Advocacy Team- Assistance with claims, billing, and more Our PARTE Values: * P ...
Residential Plumber
Cincinnati, OH · On-site
$25 - $30/hr
Ability to work extended hours, nights, or weekends and on-call * Ability to lift, push, and pull ... Medical Claims Advocacy Team- Assistance with claims, billing, and more Our PARTE Values: * P ...
Residential Plumber
Cincinnati, OH · On-site
$25 - $30/hr
Ability to work extended hours, nights, or weekends and on-call * Ability to lift, push, and pull ... Medical Claims Advocacy Team- Assistance with claims, billing, and more Our PARTE Values: * P ...
Residential Plumber
$25 - $30/hr
Ability to work extended hours, nights, or weekends and on-call * Ability to lift, push, and pull ... Medical Claims Advocacy Team- Assistance with claims, billing, and more Our PARTE Values: * P ...
Residential Plumber
$25 - $30/hr
Ability to work extended hours, nights, or weekends and on-call * Ability to lift, push, and pull ... Medical Claims Advocacy Team- Assistance with claims, billing, and more Our PARTE Values: * P ...
Weekend/PRN Case Aide
Van Wert, OH · On-site
$13 - $15/hr
Victim Advocate Weekend/PRN Department: Domestic Violence/Rape Crisis/Human Trafficking Reports To ... Inform and assist program participants in filing victim's compensation claims and accessing VINE
Quick apply
Weekend/PRN Case Aide
Van Wert, OH · On-site
$13 - $15/hr
Victim Advocate Weekend/PRN Department: Domestic Violence/Rape Crisis/Human Trafficking Reports To ... Inform and assist program participants in filing victim's compensation claims and accessing VINE
Weekend Claims Advocate information
See salary details
$34K - $41.7K
18% of jobs
$41.7K - $49.4K
4% of jobs
$51K is the 25th percentile. Wages below this are outliers.
$49.4K - $57K
13% of jobs
$57K - $64.7K
9% of jobs
The median wage is $68.3K / yr.
$64.7K - $72.4K
14% of jobs
$72.4K - $80.1K
15% of jobs
$82.5K is the 75th percentile. Wages above this are outliers.
$80.1K - $87.8K
9% of jobs
$87.8K - $95.5K
3% of jobs
$95.5K - $103.1K
7% of jobs
$103.1K - $110.8K
3% of jobs
$110.8K - $118.5K
5% of jobs
$34K
$72.1K
$118.5K
How much do weekend claims advocate jobs pay per year?
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 13 days ago
BlueCross BlueShield of South Carolina rating
7.4
Based on 67 frontline employees who took The Breakroom Quiz
210th of 281 rated insurance
Job description
Responsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions.
Description
Position Purpose:
From the moment of login, you'll be focused on proactively resolving our members' and/or providers' questions and concerns using computer-based resources to find answers. Communication via telephone, written, web, or walk-in inquiries. You will guide members and providers with their healthcare needs by explaining benefits, solving claim concerns, and helping find a doctor via telephone calls, online chats, or e-mails. At times extensive research may be needed and it may be necessary to collaborate with other departments to find the answers needed. Accurately documenting these questions is vital for the success of this role. You are the subject matter expert for this role. Your leadership team is open to your recommendations, feedback, process improvements, and assistance with special projects to make positive changes for the department. Once you have mastered this role, training and sharing your knowledge with new team members can be a rewarding part of this role.
Logistics: PGBA
Location: This position is full-time (40 hours/week) Monday-Friday in a typical office environment. Employees are required to have the flexibility to work any of our 8-hour shift scheduled during our normal business hours. It may be necessary, given the business need to work occasional overtime and weekends. This role is located at 200 North Dozier Boulevard Florence, SC 29501 United States of America.
- SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). As a Service Contract Act (SCA) employee, you are required to enroll in our health insurance, even if you already have other health insurance. Until your enrollment is complete, you will receive supplemental pay for health coverage. Your coverage begins on the first day of the month following 28 days of full-time employment
What You'll Do:
- Researches and responds to telephone inquiries according to desk procedures, ensuring that contract standards and objectives for timeliness, productivity, and quality are met.
- Research and respond to written inquiries and identify incorrectly processed claims and completes the adjustment and/or reprocessing action according to department guidelines. This may include initiating, documenting, and processing the request to completion. Initiate recoupments as necessary.
- Identifies complaints and inquiries of a complexity level that cannot be resolved following desk procedures and guidelines and refers these to a lead or manager for resolution. Identifies and reports potential fraud and abuse situations.
- Completes projects and/or assignments related to claims processing and customer service functions in the department.
To Qualify for This Position, You'll Need the Following:
- Required Education: High School Diploma or equivalent
- Required Work Experience: 2 years of customer service experience OR 1 year of claims or appeals processing experience and 1 year of customer service experience OR Bachelor's Degree in lieu of work experience.
- Required Skills and Abilities: 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.
- Required Software and Other Tools: Microsoft Office.
- Work Environment: Typical office environment.
We Prefer That You Have The Following:
- Strong human relations and organizational skills, with a demonstrated ability to handle high-stress intense situations and conversations.
- Good judgment and the ability to handle confidential or sensitive information with discretion. Ability to learn.
Our Comprehensive Benefits Package Includes The Following:
We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.
- 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
- Education Assistance
- Service Recognition
- National discounts to movies, theaters, zoos, theme parks and more
What We Can Do for You:
We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.
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 disabilities and 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.com or 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.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.
Some states have required notifications. Here's more information.
What BlueCross BlueShield of South Carolina employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About BlueCross BlueShield of South Carolina
Sourced by ZipRecruiter
BlueCross BlueShield of South Carolina, headquartered in Columbia, SC, USA, is a major stakeholder in the country's healthcare sector. The company holds the distinction of being one of the largest health insurers in South Carolina. As an independent licensee of the BlueCross BlueShield Association, it offers an extensive range of health insurance products and services, focusing not just on medical coverage, but also on dental, vision, and other supplementary health options. The company was founded in 1946 and has since established itself as a trusted leader in the health sector, committed to affordability, accessibility, and customer service. Their mission is to ensure that all South Carolinians have access to high-quality healthcare and exemplify the core values of accountability, transparency, and commitment to customer satisfaction.
Industry
Insurance services
Company size
10,000+ Employees
Headquarters location
Columbia, SC, US
Year founded
1946