Experienced Claims Customer Service Advocate I - Part Time
Join our dynamic team at careerzynith as an Experienced Claims Customer Service Advocate I - Part Time! An immediate start is available for this Remote-based position, which places you at the center of innovation. This position requires a strong and diverse skillset in relevant areas to drive success. You can expect a salary of a competitive salary for this role, plus comprehensive benefits.
**About careerzynith**
careerzynith is a leading provider of innovative solutions in the insurance industry. With a rich history spanning over seven decades, we have established ourselves as a trusted partner for individuals, families, and businesses across the nation. Our commitment to delivering outstanding service, coupled with our cutting-edge technology and expertise, has enabled us to build a diverse family of subsidiary companies that cater to various business strengths. As a part of our team, you will be joining a dynamic and innovative organization that values community roots and a secure future.
**Why Join careerzynith?**
At careerzynith, we pride ourselves on being a company that delivers outstanding service to our customers. If you share our philosophy and are committed to excellence, consider joining our team! As a Claims Customer Service Advocate I - Part Time, you will be part of a diverse and innovative company with secure, community roots and an exciting future. Our team is dedicated to providing exceptional service to our customers, and we are looking for individuals who share our passion and commitment to excellence.
**Job Description**
**Logistics:**
This job opportunity is located in W@H Richland County. Candidates must reside within a two-hour radius of the Percival Rd. office. The role involves working in a standard office setting, with part-time hours ranging from 20 to 38 per week and a flexible schedule that may include evenings and weekends.
**Key Responsibilities:**
* Respond to written and/or telephone inquiries according to desk procedures, ensuring that contract standards and objectives for timeliness, productivity, and quality are met.
* Accurately document inquiries.
* Identify incorrectly processed claims and processes adjustments and reprocessing actions according to department guidelines.
* Examine and process claims and/or non-medical appeals according to business/contract regulations, internal standards, and examining guidelines.
* Enter claims into the claim system after verification of correct coding of procedures and diagnosis codes.
* Ensure claims are processing according to established quality and production standards.
* Identify complaints and inquiries of a complex level that cannot be resolved following desk procedures, guidelines, and refer these to a lead or manager for resolution.
* Identify and promptly report and/or refer suspected fraudulent activities and system errors to the appropriate departments.
**Qualifications:**
* High School Diploma OR equivalent
* 1 year of experience in a 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 handle confidential or sensitive information with discretion
* Microsoft Office
**Preferred Qualifications:**
* Teaching or training experience
**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 a recruiter to verify resume specifics and salary requirements. Management will be conducting interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications.
**Equal Employment Opportunity Statement:**
careerzynith 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 minorities, females, disabled individuals, and 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 physical and mental disabilities. If you need special assistance or an accommodation while seeking employment, please e-mail [email protected] or call 1-800-288-2227, ext. 47480 with the nature of your request.
**Ready for an Easy Start?**
This is a low-stress role with great rewards. If you're reliable and willing to learn, we want you. Apply now!
Apply To This Job
Apply for this job
**About careerzynith**
careerzynith is a leading provider of innovative solutions in the insurance industry. With a rich history spanning over seven decades, we have established ourselves as a trusted partner for individuals, families, and businesses across the nation. Our commitment to delivering outstanding service, coupled with our cutting-edge technology and expertise, has enabled us to build a diverse family of subsidiary companies that cater to various business strengths. As a part of our team, you will be joining a dynamic and innovative organization that values community roots and a secure future.
**Why Join careerzynith?**
At careerzynith, we pride ourselves on being a company that delivers outstanding service to our customers. If you share our philosophy and are committed to excellence, consider joining our team! As a Claims Customer Service Advocate I - Part Time, you will be part of a diverse and innovative company with secure, community roots and an exciting future. Our team is dedicated to providing exceptional service to our customers, and we are looking for individuals who share our passion and commitment to excellence.
**Job Description**
**Logistics:**
This job opportunity is located in W@H Richland County. Candidates must reside within a two-hour radius of the Percival Rd. office. The role involves working in a standard office setting, with part-time hours ranging from 20 to 38 per week and a flexible schedule that may include evenings and weekends.
**Key Responsibilities:**
* Respond to written and/or telephone inquiries according to desk procedures, ensuring that contract standards and objectives for timeliness, productivity, and quality are met.
* Accurately document inquiries.
* Identify incorrectly processed claims and processes adjustments and reprocessing actions according to department guidelines.
* Examine and process claims and/or non-medical appeals according to business/contract regulations, internal standards, and examining guidelines.
* Enter claims into the claim system after verification of correct coding of procedures and diagnosis codes.
* Ensure claims are processing according to established quality and production standards.
* Identify complaints and inquiries of a complex level that cannot be resolved following desk procedures, guidelines, and refer these to a lead or manager for resolution.
* Identify and promptly report and/or refer suspected fraudulent activities and system errors to the appropriate departments.
**Qualifications:**
* High School Diploma OR equivalent
* 1 year of experience in a 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 handle confidential or sensitive information with discretion
* Microsoft Office
**Preferred Qualifications:**
* Teaching or training experience
**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 a recruiter to verify resume specifics and salary requirements. Management will be conducting interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications.
**Equal Employment Opportunity Statement:**
careerzynith 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 minorities, females, disabled individuals, and 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 physical and mental disabilities. If you need special assistance or an accommodation while seeking employment, please e-mail [email protected] or call 1-800-288-2227, ext. 47480 with the nature of your request.
**Ready for an Easy Start?**
This is a low-stress role with great rewards. If you're reliable and willing to learn, we want you. Apply now!
Apply To This Job
Apply for this job