Claims Service Representative
The client is recruiting resources to help guide impacted residents throughout the claims process, ensuring a smooth and empathetic experience. This role involves guiding impacting residents through application steps, answering inquiries, and supporting document submission while maintaining professionalism and sensitivity in challenging situations.
Key Responsibilities
Customer Assistance: Respond to resident questions in-person with clarity and empathy.
Application Support: Guide residents through completing applications, including uploading required document and verifying accuracy according to defined processes and policies.
Customer Journey Understanding: Actively listen to residents to understand their situation and ensure their needs are addressed at each stage of the process.
Documentation Handling: Assist with scanning, uploading, and validating documents in compliance with program requirements.
Issue Resolution: Identify and escalate complex issues or exceptions to appropriate teams promptly.
Compliance & Confidentiality: Adhere to company policies, data privacy standards, and legal requirements when handling resident information.
Communication: Provide clear instructions and status updates to residents regarding next steps in the claims process.
Required Skills/Attributes:
Technical Skills: Ability to navigate web-based applications. MS office novice skills.
Soft Skills:
• Strong active listening and communication skills
• High level of empathy and patience
• Ability to remain calm and professional in stressful or emotional situations
• Other Requirements:
• Detail-oriented with strong organizational skills
For Word, Excel, data entry, and customer service experience, please provide test scores when submitting the candidate profiles.
Desired Skills/Attributes:
Experience: Prior Insurance or Healthcare claims support experience preferred.
Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance and employee discounts with preferred vendors.