Claims Service Representative

Role and Responsibilities

• Effectively communicate with internal and external customers, including agents, hospitals, clinics, doctors' offices, funeral homes, beneficiaries, and reinsurance companies to request and document information relating to a claim.
• Provide clerical support in the processing of death and health claims.
• Answer telephones, respond to specific questions in the initial claims process, distinguish when to transfer calls, and take detailed messages.
• Thoroughly and efficiently gather customer information to complete new claim requests.
• Set up and maintain paper and electronic filing systems for records, correspondence, and other material.
• Open, read, route, and distribute incoming mail and other material.
• Prepare outgoing correspondence for mailing and distribution.
• Review work done by others to check for correct spelling and grammar.
• Prepare IRS Form 712.
• Enter vouchers as needed to process Statements of Insurance.
• Prepare and distribute outstanding check letters.
• Prepare and distribute claims satisfaction survey cards.

Qualifications

• A high school diploma or GED.
• An associate’s degree and one year of customer service-related experience, or two years of customer service-related experience.
• Basic use of Microsoft Word.
• Ability to type at least 30 words per minute.
• Ability to communicate clearly and professionally, both verbally and in writing.
• Ability to demonstrate respect and compassion in verbal communication.
• Ability to organize multiple duties and projects to complete work in a timely manner.
• Good math skills.
• The ability to function effectively in the workplace as exhibited through one's integrity, courage to act, and communication skills.
• The ability to work with others effectively as exhibited through one's respect for people and commitment to teamwork.
• The ability to meet organizational goals and customer expectations as exhibited through one's accountability for results, commitment to service, and initiative.
• The ability to perform the essential functions of the job as exhibited through one's growth in job knowledge and professional development.

Employee Benefits

• Health Insurance: Comprehensive coverage for employees and their families. Access to an onsite clinic, preventive care, and prescription drugs. Mental health coverage and an Employee Assistance Program. Active Lifestyle Rewards Program: Incentives for maintaining an active lifestyle. Rewards for participating in fitness challenges and wellness activities. Weight Management Programs: Customized weight management plans. Support for achieving and maintaining a healthy weight.
• Employee Engagement: Opportunities to connect with colleagues. Fun teambuilding activities. Annual events for employees and their families. Company Picnic, Thanksgiving lunch, Christmas Reception. Family Fun Night.
• Onsite Cafe: Convenient access to nutritious meals. Promoting healthy eating habits. Learning & Development: Continuous learning opportunities. Tuition reimbursement for further education. Mentorship Programs: Pairing employees with mentors. Professional growth and guidance. Promotional Opportunities: Advancement within the company. Career growth prospects.
• Life Insurance and Company-Funded Pension: Financial security for employees and beneficiaries. Retirement planning. Volunteer Days: Paid time off for volunteering. Contributing to the community.