Demo

Claims Customer Service Advocate II

Experis
West Columbia, SC Temporary
POSTED ON 2/13/2025
AVAILABLE BEFORE 5/11/2025

Job Title : Claims Customer Service Advocate

Location : 4101 Percival Road Columbia SC 29229 United States

Duration : 06 months contract

Pay Rate : $16 / hr (On W2)

We are looking for a Claims Customer Service Advocate I to join one of our Fortune 500 clients.

Education &Qualifications :

  • High School Diploma or equivalent
  • 2 years of customer service experience including 1 year claims or appeals processing OR Bachelor's Degree in lieu of work experience

Responsibility

  • Responsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions.
  • Reviews and adjudicates claims and / or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures.
  • Responds to written and / or telephone inquiries according to desk procedures, ensuring that contract standards and objectives for timeliness, productivity, and quality are met.
  • Accurately documents inquiries. Identifies incorrectly processed claims and processes adjustments and reprocessing actions according to department guidelines.
  • Examines and processes claims and / or non-medical appeals according to business / contract regulations, internal standards and examining guidelines. Enters claims into the claim system after verification of correct coding of procedures and diagnosis codes. Ensures claims are processing according to established quality and production standards.
  • Identifies complaints and inquiries of a complex level that cannot be resolved following desk procedures and guidelines and refers these to a lead or manager for resolution. Identifies and promptly reports and / or refers suspected fraudulent activities and system errors to the appropriate departments.
  • We are looking for the candidate who are eligible to work with any employers without sponsorship.

    If you're interested, please click "Apply" button.

    If you are not available or this job is not a good fit at present, please share the job details with your friends / colleagues and let me know if anyone is interested.

    About ManpowerGroup, Parent Company of : Manpower, Experis, Talent Solutions, and Jefferson Wells

    ManpowerGroup® (NYSE : MAN), the leading global workforce solutions company, helps organizations transform in a fast-changing world of work by sourcing, assessing, developing, and managing the talent that enables them to win. We develop innovative solutions for hundreds of thousands of organizations every year, providing them with skilled talent while finding meaningful, sustainable employment for millions of people across a wide range of industries and skills. Our expert family of brands - Manpower, Experis, Talent Solutions, and Jefferson Wells - creates substantial value for candidates and clients across more than 75 countries and territories and has done so for over 70 years. We are recognized consistently for our diversity - as a best place to work for Women, Inclusion, Equality and Disability and in 2022 ManpowerGroup was named one of the World's Most Ethical Companies for the 13th year - all confirming our position as the brand of choice for in-demand talent.

    Salary : $16

    If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
    Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

    What is the career path for a Claims Customer Service Advocate II?

    Sign up to receive alerts about other jobs on the Claims Customer Service Advocate II career path by checking the boxes next to the positions that interest you.
    Income Estimation: 
    $41,527 - $53,091
    Income Estimation: 
    $47,809 - $60,449
    Income Estimation: 
    $48,731 - $60,363
    Income Estimation: 
    $55,490 - $70,607
    Income Estimation: 
    $49,313 - $64,855
    Income Estimation: 
    $49,126 - $60,591
    Income Estimation: 
    $95,639 - $124,292
    Income Estimation: 
    $142,348 - $187,535
    Income Estimation: 
    $164,116 - $229,853
    Income Estimation: 
    $162,278 - $218,065
    Income Estimation: 
    $38,612 - $46,691
    Income Estimation: 
    $48,731 - $60,363
    Income Estimation: 
    $43,963 - $55,591
    Income Estimation: 
    $44,557 - $53,909
    Income Estimation: 
    $87,788 - $104,837
    Income Estimation: 
    $70,647 - $86,374
    Income Estimation: 
    $123,613 - $165,638
    Income Estimation: 
    $69,116 - $84,792
    View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

    Job openings at Experis

    Experis
    Hired Organization Address Portsmouth, NH Full Time
    Job Title : IT Project Manager Location : Flexible, UK Hybrid Working Arrangements Compensation : Competitive Salary Ben...
    Experis
    Hired Organization Address Columbus, OH Full Time
    As a Budget Analyst, you will be part of the Content Operations group supporting the Markush, Reactions, and Global Sour...
    Experis
    Hired Organization Address Castle, DE Full Time
    Role : Trust Associate Location : New Castle, Delaware - 19720 (hybrid, 3 days onsite) Position type : 12 months with hi...
    Experis
    Hired Organization Address AZ Full Time
    Our client is seeking a Customer Service Specialist to join their team Role : Customer Service Specialist Location : Pho...

    Not the job you're looking for? Here are some other Claims Customer Service Advocate II jobs in the West Columbia, SC area that may be a better fit.

    Claims Customer Service Advocate II

    Paladin Consulting, West Columbia, SC

    Claims Customer Service Advocate II

    Paladin Consulting, Columbia, SC

    AI Assistant is available now!

    Feel free to start your new journey!