Care Support Specialist — Hybrid Claims Champion

Sedgwick Claims Management Services Ltd; Orlando (FL); Hybrid; USD 23,000 - 26,000; Full time

Benefits offered by this job

Stable in-office and virtual work

Comprehensive training program

Dedicated mentor and manager guidance

Career development opportunities

Diverse benefits package

Job summary

Sedgwick Claims Management Services Ltd in Orlando, FL, is seeking a Care Team Representative to support callers on claims across multiple lines with empathy and accuracy. You will gather information, provide guidance on documentation, and resolve issues to move claims forward with one-call resolution when possible.

This role requires excellent verbal and written communication, the ability to multitask in a fast-paced environment, and strong teamwork across client accounts in a hybrid work setup.

Qualifications

• High school diploma or GED required.
• One year customer service experience or equivalent.
• Inbound call center experience preferred.
• Excellent verbal and written communication skills.
• PC literate, including Microsoft Office products, Windows environment.

Responsibilities

• Acts as primary liaison with callers from multiple client accounts within a shared services environment.
• Follows specifications in assisting with questions and solving problems related to the claims application and servicing processes.
• Performs claim intake and full-service customer support within regulatory requirements, company, and client expectations at all times.
• Educates and informs the customer about documentation required to file/process a claim, required time frames, payment information, and claim status.
• Educates claimants/callers on client requirements and benefit plans documenting all required details of the call in a concise professional manner.
• Enters verbal and written claim information that meets both the internal and external customer’s requirements accurately into the appropriate system.
• Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist/management as needed.
• Attendance during scheduled work hours is required.

Skills

Excellent verbal and written\ncommunic

Strong organizational skills

Ability to multi task

Teamwork / collaboration

Interpersonal skills

Education

High school diploma or GED

Tools

Microsoft Office

Windows OS

Job description

Sedgwick Claims Management Services Ltd in Orlando, FL, is seeking a Care Team Representative to support callers on claims across multiple lines with empathy and accuracy. You will gather information, provide guidance on documentation, and resolve issues to move claims forward with one-call resolution when possible.

This role requires excellent verbal and written communication, the ability to multitask in a fast-paced environment, and strong teamwork across client accounts in a hybrid work setup.