Job Title: Claims Customer Service Representative Department/Agency: SASid Location: Janesville, WI Job Summary: InsuranceTPA.com is a fast-growing high-tech organization. We are a health insurance company with approximately 7000 members. We have a full-time position open for a Customer Service Representative in our Health Claims department. Job Description: This position consists of inbound and outbound calls regarding medical policies with policyholders and providers. Also includes verifying and explaining health insurance benefits with different types of supplemental health plans and describe exclusions and non-covered treatment. Assisting customers with locating in-network providers to obtain the best possible benefit for their insurance policy. Miscellaneous clerical duties are required as part of the roles and responsibilities of this position. Qualifications: Strong customer service skills are a must. Able to multi-task while taking inbound calls. Be able to meet metrics assigned to this position regarding abandonment rates, talk time and speed of answer for inbound calls. Knowledge in medical terminology is required. Health claims and prior customer service is preferred by not required. Strong computer skills with a typing speed of 50 WPM Able to work with little supervision. Knowledge of Google applications is a plus (Gmail, Google Docs, Google Excel) Health Insurance Eligible at time of hire New employees will be activated in our Workday platform between your hire date and your first pay date. You have 30 days from your date of hire to enroll in benefits. This is your Initial Enrollment Window. Medical Telehealth Dental Vision Accident Critical Illness Flexible Spending Account Health Savings Account Disability (Company Paid) Long Term Disability (Company Paid) Basic Term Life and AD&D (Company Paid) Employee Assistance Program Pet Insurance 401K (Principal) enrollment Company matches 50% up to 6% employee contribution. Paid Time Off (PTO) Flexible Vacation Policy (FVP) FVP does not limit vacation time. FVP must be appropriate and reasonable. Cannot schedule reoccurring days of the week. Must provide a minimum of 2 weeks’ notice for a request of 5 consecutive days. Must provide a minimum of 30 days’ notice for requests of more than 5 days. You can flex time up to 4 hours per week and those 4 hours must be made up during the same work week. Holidays New Year’s Day Martin Luther King Day Friday before Memorial Day Memorial Day Independence Day Friday before Labor Day Labor Day Thanksgiving Day after Thanksgiving Christmas Eve Christmas Day #LI-TB1 Acrisure is committed to employing a diverse workforce. All applicants will be considered for employment without attention to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran, or disability status. California residents can learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy available at www.Acrisure.com/privacy/caapplicant. To Executive Search Firms & Staffing Agencies: Acrisure does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered Acrisure’s property, and Acrisure will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting Acrisure’s Human Resources Talent Department. There are amazing opportunities for talented people in every part of our business. We invite you to find your next great opportunity with us. You can apply, track your progress and review new postings all in one place!