Position: Claims Customer Service Rep

Duration: 12 Months

Pay-Rate: $17.00/Hr. on W2

Schedule: Monday-Friday (Work additional hours and Saturdays as needed), 8 am - 4:30pm

PRIMARY PURPOSE: To expedite the claims application process; to ensure correct case assignment; and to act as a customer liaison in assisting the customer with the correct contact person to resolve problems and/or questions.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

· Acts as primary liaison with customer in solving problems related to the application process and service.

· Communicates clearly and professionally with the customer by telephone and/or written correspondence regarding all aspects of claims process.

· Educates and informs the customer by telephone, written correspondence and/or the claims system about the documentation required to process a claim, required time frames, payment information, and claim status.

· Enters verbal and written application information that meets both the internal and external customer's requirements accurately into the claims management system.

· Assigns new claims to the appropriate claims handler.

· Directs customer calls to the correct person at all locations.

· Participates in and maintains a quality service culture within the Customer Service Team.

· Attendance during scheduled work hours is required.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

· Performs other duties as assigned.

· Supports the organization's quality program(s).

QUALIFICATIONS

Education & Licensing

High school diploma or GED required.

Experience

One (1) year customer service experience or equivalent combination of education and experience preferred. Experience in an inbound call center preferred.

Skills & Knowledge

· Knowledgeable in disability plan eligibility, coverage and benefits

· Good customer service skills

· Excellent oral and written communication, including presentation skills

· PC literate, including Microsoft Office product

· Strong organizational skills

· Good interpersonal skills

· Ability to work in a team environment

· Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical: Computer keyboarding, travel as required

Auditory/Visual: Hearing, vision, and talking

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

Job Type: Contract

Pay: $17.00 per hour

Expected hours: 40 per week

Work setting:

• In-person

Application Question(s):

• Your email address, contact number, and the best time to reach you?

Experience:

• Claims and Verification: 3 years (Preferred)
• Healthcare Call center: 4 years (Preferred)

Work Location: In person