Logo for CGS Administrators, LLC

Customer Service Advocate II

Role overview

Qualifications

  • High School Diploma or equivalent
  • Excellent verbal and written communication skills
  • Strong customer service skills
  • 2 years of customer service or call center experience (preferred)

Responsibilities

  • Provide accurate and courteous responses to customer inquiries
  • Document inquiries and maintain records on complaints
  • Coordinate with other departments to resolve customer problems
  • Assist with process improvements and report suspected fraudulent activities

Key facts

Other skills

  • Customer Service
  • Communication
  • Problem Solving
  • Research
  • Organizational Skills
  • Computer Literacy
  • Word Processing
  • Microsoft Excel
  • Stress Management

About the company

CGS Administrators, LLC logo

CGS Administrators, LLC

Insurance

CGS performs all phases of administrative services for healthcare providers and health plan members. For providers, we handle provider credentialing, re-verification, and maintenance, call center services, and outreach and education. We also provide Medical Review strategy development, implementation, and data analysis. For members, we provide call center services. Additionally, CGS handles all aspects of claims processing from initial receipt, to payment, to overpayment recovery and appeals, all while leveraging the latest technology solutions. CGS currently provides Medicare Part A claims processing and customer support services in the states of Kentucky and Ohio. CGS also provides services for Home Health and Hospice in the states of Colorado, Delaware, DC, Iowa, Kansas, Maryland, Missouri, Montana, Nebraska, North Dakota, Pennsylvania, South Dakota, Utah, Virginia, West Virginia, and Wyoming. In addition, we provide services for Medicare Part B in the states of Ohio, Kentucky, and Idaho, and we provide service to Durable Medical Equipment suppliers in the states of Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, U.S. Virgin Islands, Virginia, and West Virginia.

Company details

Company typeSME
IndustryInsurance
Company size501 - 1000

Your match analysis

See how your profile stacks up against this role.

We compared the job requirements to your profile to show where you're strong and where you fall short.

Job description


Summary
 

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


Description
 

Logistics: CGS - One of BlueCross BlueShield's South Carolina subsidiary companies.

Location: This position is full-time (40 hours/week) Monday-Friday. This is a remote position with training from 7:30am-4pm CST for six weeks. Normal work hours will be from 8:30-5pm CST

What You’ll Do:

  • Ensure effective customer relations by responding accurately, timely and courteously to telephone, written, web, or walk-in inquiries. Accurately documents inquiries.

  • Initiate or processes adjustments or perform other research as needed to resolve inquiries. Coordinates with other departments to resolve problems. Responds to, research and/or assists with priority inquiries and special projects as required by management.

  • Provide feedback to management regarding customer problems, questions and needs. Maintains accurate records on complaints and/or other customer comments and makes recommendations for changes to management. Follows through on complaints until resolved or reports to management as needed.

  • Maintain basic knowledge of quality work instructions and company policies. Assists with process improvements through the recommendation of changes in procedures and techniques discovered during daily operations. Maintains all departmental productivity, quality, and timeliness standards.

  • Identify and promptly report and/or refer suspected fraudulent activities and system errors to the appropriate departments.

To Qualify For This Position, You'll Need The Following:

  • Required Education: High School Diploma or equivalent

  • Required Skills and Abilities: Excellent verbal and written communication skills. Strong human relations and organizational skills. Ability to handle high stress situations. Good judgment skills. Strong customer service skills. Ability to learn and operate multiple computer systems effectively and efficiently.

  • Required Software and Other Tools: Basic computer operating skills. Standard office equipment.

We Prefer You Have:

  • Preferred Education: Associate Degree

  • Preferred Work Experience: 2 years-of customer service or call center experience.

  • Preferred Software and Other Tools: Knowledge of word processing, spreadsheet, and database software.

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.

What To Expect Next:

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.

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

Apply once. Then go straight to the hiring manager.

After you apply, unlock the direct contact details of the people who actually make the call. A quick follow-up makes you 5x more likely to land an interview.

MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
Unlocked after you apply
·

Customer Advocacy Manager Related jobs

Other jobs at CGS Administrators, LLC

Premium

Reach out to the hiring manager directly.

Gain access to the contact details of the hiring managers who actually decide, and reach out to network with them directly. That, plus more when you upgrade:

  • Full match report with fit score and gaps
  • Career diagnostics on how recruiters read you
  • Curated company matches and warm intros
  • 48h early access to new roles

Cancel anytime.