Claims Service Specialist

Claims Service Specialist

The Claims Service Specialist will support the Claims Services Managers (CSM's) to help ensure member claim service satisfaction and provide claims service management ensuring proper communication and follow through.

ESSENTIAL EDUCATION AND EXPERIENCE :

Bachelor's Degree or equivalency in a related discipline and at least three (3) years of claim handling experience and claims customer service. Must have direct client service experience in commercial claims either through face-to-face or telephonic interactions.

SKILLS / COMPETENCIES REQUIREMENTS :

• Strong customer service orientation.
• Organization, planning, and prioritization expertise with strong skills in multi-tasking and follow-up.
• Proficiency with Microsoft Office and ability to learn RMIS based claims systems.
• Works well independently and in a team environment.
• Excellent written and verbal communication skills.
• Comfortable in a client facing role.
• Strong analytical, problem solving, judgment, and communication skills.
• Willingness and ability to travel domestically at a minimal amount as required.

ESSENTIAL DUTIES AND RESPONSIBILITIES :

PRIORITIES : Positive customer service and proactive claims service management ensuring proper communication and follow-through, as well as supporting the Claims Dept as needed to help ensure member claim service satisfaction.

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.