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LanceSoft, Inc. · 1 month ago

Claims Customer Service Advocate I

Myrtle Beach, SC

Full-time

Onsite

New Grad, Entry Level

$23.11/hr - $23.11/hr

LanceSoft, Inc. is seeking a Claims Customer Service Advocate I to support their operations. The role involves responding to inquiries, processing claims, and ensuring compliance with organizational policies.

Information Technology

Growth Opportunities

No H1B

Security Clearance Required

U.S. Citizen Only

Responsibilities

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

Qualification

Business mathMicrosoft OfficeCustomer serviceVerbal communicationWritten communication

Required

C2 clearance will be required for all workers

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

Required Software and Other Tools: Microsoft Office

Company

LanceSoft, Inc.

Glassdoor4.1

Established in 2000, LanceSoft is a pioneer in delivering top-notch Global Workforce Solutions and IT Services to a diverse clientele.

Founded in 2000

Herndon, Virginia, USA

5001-10000 employees

http://www.lancesoft.com/

Funding

Current Stage

Late Stage

Leadership Team

Ram Karuppusamy

Chairman & CEO

Simon Dealy

Chief Financial Officer

Company data provided by crunchbase