Claims Support Rep- Sun Prairie, WI or REMOTE

02 Aug 2024

Vacancy expired!

Job Title: Claims Support Rep III

Location: Sun Prairie, WI or Remote

Duration: 12+ Months Support internal and external customers by responding to claims file inquiries, escalating issues as necessary, maintaining accurate documentation and following established guidelines to ensure alignment with corporate objectives and achieve department success.

Required QualificationsEducation: High School Diploma/GED Experience: 1 year relevant experience Licenses/Certifications:

Preferred Competencies/Skills• Identify and locate information and facts which are necessary and relevant for the purposes of evaluating a claim• Assume a methodical approach to evaluate situations • Manage and prioritize competing responsibilities concurrently and effectively• Provide personalized and quality service to meet the expectations of internal and external customers• Effectively manage one’s own time• Complete tasks attentively and thoroughly with attention to detail• Utilize established procedures to guide decision-making• Maintain a professional, poised and positive demeanor• Willingness to assist others beyond the call of duty

Experience• Experience in the insurance industry or a call-center environment• work experience in a paperless environment

Preferred Knowledge• Working knowledge of basic computer hardware and software, Microsoft Office Suite and database systems• Principles and processes for providing customer service including meeting quality standards for services and evaluation of customer satisfaction• Working knowledge of industry best practices and policies Responsibilities:• Provide claims customer service support by answering inbound calls as needed, responding to basic claims file inquiries and escalating issues to appropriate claims staff to contribute to customer satisfaction and effectiveness of service• Build customer service knowledge by taking initiative for learning additional processes, queues and client-specific procedures to support customers in secondary areas and provide comprehensive, well[1]informed responses to inquiries• Assist in claims handling by gathering and evaluating relevant information, mailing claims items, maintaining accurate documentation, tracking claims files and resolving outstanding issues to ensure alignment with corporate standards and government regulations• Support internal and external customers by processing and balancing check registries, understanding claims processes and procedures, following established guidelines and identifying opportunities for process improvement to align individual performance with department objectives• Communicate claims file status and details by sharing relevant information with claimants, insured parties, vendors, specialists, agents and other employees as needed and verifying data to support delivery of effective customer service• Cultivate claims support skills and knowledge by seeking advice and guidance of peers and participating in cross-training as required to learn additional processes and increase personal effectiveness• Assist with the identification of training requirements for assigned projects and business units by providing input to the training plan, supporting the development of training materials and participating in the training for assigned projects as required• Obtain insurance information on behalf of clients by placing outbound calls to agents, carriers, or borrowers as assigned and entering collected data to achieve productivity and quality metrics and ensure account information is complete, accurate and current• Identify risks to change implementation by supporting coordination and execution of user acceptance testing for upcoming process changes to ensure alignment of updates with desired outcomes Processes orders, prepares correspondence, and fulfills customer needs to ensure customer satisfaction. Requires a high school diploma or equivalent and 0-3 years of experience in the field or in a related area. Has knowledge of commonly used concepts, practices, and procedures within a particular field. Relies on instructions and pre-established guidelines to perform the functions of the job. Works under immediate supervision. Primary job functions do not typically require exercising independent judgment. Typically reports to a supervisor or manager.

Thanks,

Gauri Jadhav

Technical Recruiter

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.Consulting | Staffing732-218-9799 | Gauri.Jadhav@xduce.com| www.XDuce.com