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Claims Representative

Claims Representative

AllSTEM ConnectionsPasadena, CA, US
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Position Details :

Job Title : Claims Representative (Bilingual Spanish)

Duration : 1 year assignment with possible extension

Shift

Mon to Fri 8 a.m. – 5 p.m. PST

Location : Pasadena, CA (onsite)

Position Summary :

  • 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.
  • Client will provide training, documentation and rules to follow, along with onsite support teams to ensure these new resources are successful.
  • Resources and customers will meet at onsite location in Pasadena area during normal business hours.

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.

    • Qualifications & Skills :

  • Experience : Prior Insurance or Healthcare claims support experience preferred.
  • Technical Skills : Ability to navigate web-based applications. MS office novice skills along with strong customer service skills.
  • FEMA or Red Cross experience is great

    • 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
  • Ability to work independently and as part of a team
  • Flexible to adapt to changing processes and priorities
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