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Skills
Adjudicationunmatched
Analysis Skillsunmatched
Call Centersunmatched
Claims Processingunmatched
Communication Skillsunmatched
Corporate Policiesunmatched
Customer Satisfactionunmatched
Customer Support/Serviceunmatched
Detail Orientedunmatched
English Languageunmatched
Exceeded Sales Goalunmatched
Follow Throughunmatched
High School Diplomaunmatched
Management of Information Systems/Technology (MIS)unmatched
Multilingualunmatched
Multitaskingunmatched
Performance Metricsunmatched
Presentation/Verbal Skillsunmatched
Problem Solving Skillsunmatched
Resolve Customer Issuesunmatched
Spanish Languageunmatched
Team Lead/Managerunmatched
Team Playerunmatched
Time Managementunmatched
Track Customer Issuesunmatched
Training/Teachingunmatched
Writing Skillsunmatched
Description
A claim's department Customer Service Representative is responsible for adjudicating tire claims, pre-paid maintenance claims, reimbursements, and provides information to policy holders and dealerships such as explaining contract coverage, claim decisions, payment status, claim processes, and other general inquiries. All while upholding and providing excellent customer service. To perform this job successfully, an individual must be a proactive team player with a focus on excellent customer service and customer satisfaction, good communication skills, attention to detail, and the ability to work well under pressure. The position requires the customer service representative to be adept at utilizing a computer database, handling several ongoing cases simultaneously and seeing a claim filed to completion while offering efficient solutions to the variety of cases that are presented.
Must be able to work Mon-Thurs 10 AM - 7 PM EST and Friday 9 AM - 6 PM EST.
Essential Duties and Responsibilities
Adjudicating various pre-paid maintenance, road hazard tire and wheel, etc. claims.
Answering customer questions and concerns all while providing excellent customer service.
Verifying eligibility, and parts/labor using contracts' and company's standard quality &
Reviewing pictures and videos to aid in determining authorization decision for the claims.
Maintaining accurate records of customer/caller interaction and discussion over the phone.
Updating customer information.
Working with other departments to resolve issues.
Meeting or exceeding performance metrics and goals.
Reporting any technical difficulties to appropriate channels (Team Lead/Supervisor, and IT).
Try de-escalating callers, if necessary, unless escalation to Team Lead or Supervisor is requested.
Staying up to date on the contracts' and the company's policies and procedures and participating in necessary training and development opportunities to improve skills and knowledge.
Consistent follow through and ability and flexibility to multi-task and effectively balance priorities and meet tight deadlines and working with other departments to resolve issues.
Other duties as assigned.
High school diploma or GED
2 years' experience working in a call center environment preferred