Senior Claims Customer Service Rep

Pyramid, Inc

Scottsdale, AZ

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JOB DETAILS

JOB TYPE

Full-time

SKILLS

Background Investigation, Business Solutions, Call Center Evaluation, Claims Processing, Communication Skills, Customer Support/Service, Data Entry, Direct Data Entry, English Language, Information/Data Security (InfoSec), Insurance, Insurance Sales, Maintenance Services, PC (Personal Computer) Systems, PC Software, Presentation/Verbal Skills, Procedure Development, Record Keeping, Regulatory Requirements, Reporting Skills, Resolve Customer Issues, Risk, Secondary School, Writing Skills

LOCATION

Scottsdale, AZ

POSTED

15 days ago

Immediate need for a talented Senior Claims Customer Service Rep with experience in the Insurance Industry.This is a 06+ Months Contract opportunity with long-term potential and is located in Scottsdale, AZ. Please review the job description below. Job ID: 20-18944 Key Responsibilities: Provides first line customer service contact for claims reporting activity. Utilizes claims call center best practices in all activities. Creates loss reports by securing information from policyholders, claimants, agents, and other parties. Establishes the claim master record by direct entry of claim data via computerized claim system. Takes manual loss reports as necessary. Verifies coverage under various policies or policy provisions based on variances of state, jurisdiction and regulatory requirement After taking notice of loss, makes direct assignments to inside or field claims adjustment personnel. In the absence of the -, assigns claims of other claims service representatives within established guidelines and procedures. Refers claimants to preferred repair shops or schedules drive-in appointments as appropriate. Handles inquiries from policyholders, claimants, and others appropriately. Establishes and maintains a follow-up system for completion of incomplete claim reports. Proactively contacts policyholders/claimants for additional information to expedite proper handling of claims Maintains, records and report information. Handles customer service complaint situations as appropriate, or provides information to escalate for resolution. Creates and maintains information screens. Inputs data into other personal computer-based software as required. Handles the duties of coverage verification with other appropriate functions for all state operations when circumstances do not allow a claim to be established on the system. This would include the verification of Assigned Risk as well as Voluntary policy information. Provides technical advice to claims service representatives on personal and commercial lines policy coverage in the absence.Performs other duties as assigned. Key Requirements and Technology Experience: Education: High school studies. Post-high school studies or insurance industry coursework preferred. Experience: Claims Service Representative I experience and successful completion of formal and on-the-job training of 3-12 months. Knowledge: Extensive knowledge of the duties and responsibilities of the claims service representatives with proven performance as indicated in quality program results. Superior knowledge of claims processing system(s) and the claims reporting process as well as thorough knowledge of insurance coverage, policies and claims handling procedures. Skills/Competencies: Ability to make decisions such as the application of coverage, assignments, and work priorities.Outstanding oral and written communication skills needed to effectively interact with the policyholders, claimants, agents and co-workers. Ability to efficiently operate personal computer and all related claims/business software. Some positions provide service primarily for customers speaking a language other than English. These positions may require skills specific to the language and culture, including bilingual skills. Credit Check: A valid credit check and/or background check may be required as part of the selection process in locations where a State Department of Insurance license is required for the position. Our client is a leading Insurance Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

About the Company

Pyramid, Inc

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