Note: The job is a remote job and is open to candidates in USA. Nesco Resource is a staffing agency seeking a Customer Service Claims Representative to assist customers in the claims process. This role involves assigning claims, entering information into the claims management system, and providing exceptional customer service throughout the claims process.
Responsibilities
- Assign new claims to the appropriate claims handler
- Accurately enter verbal and written claim information into the claims management system
- Ensure all claim information meets internal and external customer requirements
- Maintain accurate documentation throughout the claims process
- Communicate with customers via telephone, written correspondence, and claims management systems
- Request required documentation needed to process claims
- Provide claim status updates and explain required timelines
- Answer customer questions regarding the claims process
- Serve as a liaison to connect customers with the appropriate claims personnel
- Maintain a high-quality customer service culture
- Participate in departmental quality initiatives
- Support organizational quality programs
- Perform additional duties as assigned
- Maintain consistent attendance during scheduled work hours
Skills
- Candidates must reside in the Eastern or Central Time Zone
- Weekend availability is required
- High School Diploma or GED required
- Excellent verbal and written communication skills
- Strong customer service and interpersonal skills
- Proficiency with Microsoft Office applications
- Strong organizational and multitasking abilities
- Ability to prioritize work in a fast-paced environment
- Ability to work effectively in a team setting
- Ability to meet or exceed performance expectations
- Minimum of one year of customer service or clerical experience preferred
- Equivalent combination of education and experience will be considered
Benefits
- MEC (Minimum Essential Coverage) plan that encompasses Medical, Vision, Dental
- 401K
- EAP (Employee Assistance Program) services
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