SERVICE CENTER REPRESENTATIVES- CALL CENTER CLAIM SUPPORT
WAGES: 14.50/HOUR, 40 HOURS PER WEEK
TRAINING ONSITE: DEC 7-10TH, THEN WILL TRANSITION REMOTE, MUST HAVE INTERNET AND THE ABILITY TO WORK FROM HOME
TRAINING HOURS: 9AM TO 530PM
REMOTE HOURS: BETWEEN 8AM AND 6PM, MUST BE ABLE TO WORK ANY HOURS WITHIN 8AM TO 6PM AS SCHEDULE WILL VARY EVERY 2 WEEKS
LOCATION: SOUTHFIELD, MICHIGAN
PRIMARY PURPOSE: To provide excellent service to callers regarding claims for multiple lines of business; to expedite the claims application process and provide detailed claim notes on all calls; to resolve issues with one call/one person response; and to direct calls to appropriate escalation path as needed.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Acts as primary liaison with callers; follows client specifications in assisting with questions and solving problems related to the claims application and servicing processes.
Educates and informs the customer via multiple communication channels about documentation required to process a claim, required time frames, payment information, and claim status.
Educates claimants/callers on client requirements and benefit plans documenting all required details of the call in a concise professional manner.
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 appropriate contact at multiple locations or escalates to Service
Center Specialist/management as needed.
Attendance during scheduled work hours is required.
QUALIFICATIONS Education & Licensing
High school diploma or GED required. College courses preferred
One (1) year customer service experience or equivalent combination of education and experience required. Inbound call center experience preferred.
Skills & Knowledge
Knowledge of medical terminology
Understanding of claims management
Excellent oral and written communication skills
PC literate, including Microsoft Office products
Strong organizational skills
Good interpersonal skills
Ability to multi task in fast paced environment
Ability to support multiple clients across communication channels and utilize multiple systems simultaneously
Ability to work in a team environment and/or independently
Ability to meet or exceed Performance Competencies
Please email resume to email@example.com
Sedona Staffing Services is an Equal Opportunity Employer