(Non-IT) Claims - Claims Customer Service Rep II


Job Details

Immediate need for a talented Claims Customer Service Rep II. This is a 12+ Months contract opportunity with long-term potential and is located in United States (Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID: 24-16562

Pay Range: $15/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan.

Note: Permanent Work from Home Position. Internet Speed requirements are as follows: Broadband circuit Minimum 30 Mbps download speed Minimum 3 Mbps upload speed.

Working Conditions:
Claims call center 7/24/365 environment. Prolonged periods of sitting at personal computer and extensive use of keyboard while taking telephone calls; must use a telephone headset. Non-standard hour s possible flexibility of schedule is desired.

Reporting Relationships:
Reports to Claims Customer Service -. Individual contributor role.

Key Responsibilities:

  • Owns the customer experience by establishing trust and building relationships to provide first line customer service contact for claims reporting activity related to personal lines.
  • Utilizes claims call center best practices in all activities, including customer complaint handling and escalation.
  • Verifies coverage under various policies or policy provisions based on variances of state, jurisdiction and regulatory requirement.
  • Makes direct assignments to inside or field claims specialists for prompt resolution of claims.
  • Thoroughly and efficiently handles inquiries from policyholders, claimants and others. Responds effectively and appropriately to sensitive events and/or situations as needed.
  • Establishes and maintains a follow-up system for completion of claim reports. Proactively contacts policyholders/claimants for additional information to expedite proper handling of claims.

Key Requirements and Technology Experience:

  • High school or comparable diploma; some undergraduate studies preferred.
  • One year of work-related customer service experience; prefer experience in the insurance industry.
  • Strong problem solving, multi-tasking, analytical, and computer skills.
  • Ability to make decisions such as the application of coverage, assignments, and work priorities.
  • Verbal and written communication skills needed to effectively interact with the policyholders, claimants, agents and co-workers.
  • Ability to efficiently navigate and operate personal computer and all related claims/business software.
  • Other criteria, including leadership skills, competencies and experiences may take precedence.
  • Staffing exceptions to the above must be approved by the Director and HR Business Partner.
  • Regularly and consistently demonstrates the Client Values.

Our client is a leading Insurance organization and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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 Pyramid Consulting

 05/11/2024

 Columbus,OH