Experienced Claims Customer Service Advocate II – Healthcare Benefits Navigation and Resolution

At arenaflex, we're dedicated to delivering exceptional healthcare services to our members and providers. As a Claims Customer Service Advocate II, you'll play a vital role in helping our customers navigate the complexities of healthcare benefits and resolve their claims concerns in a timely, prompt, and accurate manner. If you're passionate about providing outstanding customer service, have a knack for problem-solving, and thrive in a dynamic team environment, we invite you to join our arenaflex family.

Why Join arenaflex?

For over seven decades, arenaflex has been a trusted partner in the healthcare industry, serving the South Carolina community with integrity and compassion. As the largest insurance company in South Carolina, we've built a reputation for delivering outstanding service to our customers. Our diverse family of subsidiary companies allows us to leverage our strengths and innovate for the future. If you share our commitment to excellence and customer satisfaction, consider joining our team!

Logistics

This full-time position (40 hours/week) is based in a typical office environment at 200 North Dozier Boulevard, Florence, SC 29501. As a Claims Customer Service Advocate II, you'll be required to work a variety of 8-hour shifts during our normal business hours, with occasional overtime and weekend work as needed. Our team is dedicated to providing exceptional service to our customers, and we're looking for someone who shares our passion for delivering results.

Key Responsibilities

As a Claims Customer Service Advocate II, you'll be responsible for:

• Proactively resolving member and provider questions and concerns using computer-based resources
• Communicating via telephone, written, web, or walk-in inquiries to provide accurate and timely information
• Guiding members and providers through their healthcare needs by explaining benefits, solving claim concerns, and helping find a doctor via telephone calls, online chats, or e-mails
• Conducting extensive research to find answers and collaborating with other departments as needed
• Accurately documenting questions and concerns to ensure successful resolution
• Serving as a subject matter expert for this role and providing recommendations, feedback, and process improvements to leadership
• Participating in special projects to drive positive changes for the department
• Training and sharing knowledge with new team members to ensure a smooth onboarding process

Qualifications

To be successful in this role, you'll need:

• A High School Diploma or equivalent
• Excellent verbal and written communication skills, including proficiency in spelling, grammar, and punctuation
• 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 and adapt to new information and processes

Preferred Qualifications

While not required, we prefer candidates with:

• 2 years of customer service experience or 1 year of claims or appeals processing experience and 1 year of customer service experience
• A bachelor's degree in lieu of work experience

What We Can Do for You

At arenaflex, we're committed to supporting your growth and development:

• Six weeks of comprehensive training, including a best-in-class call center training program, peer coaching, and open discussion conversations
• A proven curriculum providing the knowledge you need to excel in this role
• A training lab where you'll take live calls with a training supervisor close by to answer questions
• Opportunities for career growth and advancement within our organization
• A comprehensive benefits package, including:

+ 401(k) retirement savings plan with company match + Subsidized health plans and free vision coverage + Life insurance + Paid annual leave – the longer you work here, the more you earn + Nine paid holidays + On-site cafeterias and fitness centers in major locations + Wellness programs and a healthy lifestyle premium discount + Tuition assistance + Service Recognition

What to Expect Next

After submitting your application, our recruiting team 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. Management will conduct interviews with the most qualified candidates.

Equal Employment Opportunity Statement

arenaflex 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. We're 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 email [email protected] or call 1-800-288-2227, ext. 47480 with the nature of your request. We'll make a determination regarding your request for reasonable accommodation on a case-by-case basis.

Apply Now

Ready to join our arenaflex team? Click the link below to apply for the Claims Customer Service Advocate II position: Apply Job! Apply for this job