SGS-Service Center Representative - Remote / Telecommute

Requirement/Must Have:

• High School Diploma or GED.
• Minimum 1 year of customer service and claims processing experience or equivalent.
• Knowledge of medical terminology and claims management processes.
• Strong communication skills (verbal and written).
• Proficiency in Microsoft Office and computer systems.

Experience:

• Experience in a call center environment (preferred).
• Experience handling inbound calls and resolving customer inquiries.
• Experience working with claims management systems.

Responsibilities:

• Act as the primary liaison for callers, addressing inquiries related to claims and servicing processes.
• Educate customers on documentation requirements, claim timelines, payment details, and claim status.
• Document all interactions accurately and professionally in the claims management system.
• Enter verbal and written application data accurately into internal systems.
• Assign new claims to appropriate handlers and escalate issues when necessary.
• Direct calls to appropriate departments or escalate to specialists/management.
• Support quality programs and ensure compliance with client specifications.
• Maintain consistent attendance and performance standards.
• Perform additional duties as assigned.

Should Have:

• College-level coursework (preferred).
• Strong analytical and interpretive abilities.
• Comfort working in a fast-paced, multi-system environment.
• Ability to work on camera when required.

Skills:

• Strong organizational and multitasking skills.
• Excellent interpersonal and customer service skills.
• Ability to work independently and collaboratively.
• Attention to detail and accuracy in documentation.