**Experienced Claims Customer Service Advocate I - Part Time Opportunity at arenaflex**
At arenaflex, we are committed to delivering exceptional service to our customers, and we are seeking a highly skilled and dedicated Claims Customer Service Advocate I to join our team on a part-time basis. As a Claims Customer Service Advocate I, you will play a vital role in responding to routine inquiries, identifying incorrectly processed claims, and ensuring that our customers receive the highest level of service.
**About arenaflex**
arenaflex is a leading insurance company with a rich history of serving the South Carolina community for over seven decades. We are proud to be one of the nation's leading administrators of government contracts and operate one of the most sophisticated data processing centers in the Southeast. Our diverse family of subsidiary companies allows us to build on a variety of business strengths, and we are committed to delivering outstanding service to our customers.
**Why Join arenaflex?**
If you are committed to the same philosophy of delivering exceptional service to our customers, consider joining our team! As a Claims Customer Service Advocate I, you will have the opportunity to work in a dynamic and innovative environment with a secure, community-rooted company that is dedicated to growth and excellence.
**Job Summary**
We are seeking a highly skilled and dedicated Claims Customer Service Advocate I to join our team on a part-time basis. As a Claims Customer Service Advocate I, you will be responsible for responding to routine inquiries, identifying incorrectly processed claims, and ensuring that our customers receive the highest level of service.
**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 process 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.
* 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**
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. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals, and veterans.
**Work Environment and Company Culture**
As a Claims Customer Service Advocate I, you will work 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. We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.
**Compensation, Perks, and Benefits**
arenaflex offers a competitive compensation package, including a salary, benefits, and perks. We are committed to providing a work environment that is inclusive, diverse, and supportive of our employees' growth and development.
**How to Apply**
If you are a highly skilled and dedicated individual who is committed to delivering exceptional service to our customers, consider joining our team! Apply today by submitting your resume and cover letter to our recruiting team.
Apply Job!
**About arenaflex**
arenaflex is a leading insurance company with a rich history of serving the South Carolina community for over seven decades. We are proud to be one of the nation's leading administrators of government contracts and operate one of the most sophisticated data processing centers in the Southeast. Our diverse family of subsidiary companies allows us to build on a variety of business strengths, and we are committed to delivering outstanding service to our customers.
**Why Join arenaflex?**
If you are committed to the same philosophy of delivering exceptional service to our customers, consider joining our team! As a Claims Customer Service Advocate I, you will have the opportunity to work in a dynamic and innovative environment with a secure, community-rooted company that is dedicated to growth and excellence.
**Job Summary**
We are seeking a highly skilled and dedicated Claims Customer Service Advocate I to join our team on a part-time basis. As a Claims Customer Service Advocate I, you will be responsible for responding to routine inquiries, identifying incorrectly processed claims, and ensuring that our customers receive the highest level of service.
**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 process 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.
* 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**
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. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals, and veterans.
**Work Environment and Company Culture**
As a Claims Customer Service Advocate I, you will work 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. We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.
**Compensation, Perks, and Benefits**
arenaflex offers a competitive compensation package, including a salary, benefits, and perks. We are committed to providing a work environment that is inclusive, diverse, and supportive of our employees' growth and development.
**How to Apply**
If you are a highly skilled and dedicated individual who is committed to delivering exceptional service to our customers, consider joining our team! Apply today by submitting your resume and cover letter to our recruiting team.
Apply Job!