Claims Customer Service Representative

Lee Hecht Harrison Nederland B.V.; Atlanta (GA); On-site; USD 46,000 - 48,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

401(k) plan

Paid leave

EAP program

Commuter benefits

Job summary

Lee Hecht Harrison Nederland B.V. is seeking a Customer Service Representative to join a growing team focused on assisting policyholders and healthcare providers with insurance inquiries and claims.

The role involves handling high-volume inbound calls, providing accurate policy and claims information, and resolving issues promptly with empathy. In-office, direct hire, full-time position offering comprehensive benefits and ongoing professional development.

Qualifications

• Experience handling high-volume inbound calls.
• Knowledge of Medicare Supplement insurance and healthcare claims adjudication.
• Strong customer service background focused on problem resolution.

Responsibilities

• Handle a high volume of inbound calls from policyholders and providers.
• Provide accurate information regarding insurance policies, benefits, coverage, and claims.
• Resolve customer concerns promptly with a focus on first-call resolution.
• Deliver professional, empathetic, and solution-oriented customer service.
• Assist customers and providers with claims-related inquiries and claim status updates.
• Support claim submission processes and clarify reimbursement procedures.
• Educate customers on policy details, benefits, and claims processes.
• Ensure compliance with Medicare and applicable industry guidelines.
• Maintain accurate records of customer interactions and transactions.
• Collaborate with claims teams and other departments to ensure seamless service delivery.
• Escalate complex issues when necessary while maintaining a positive customer experience.
• Support continuous improvement initiatives and service excellence standards.

Skills

Verbal and written communication

Interpersonal skills

Problem-solving

Attention to detail

Multitasking

Independent and team player

Education

High school diploma or equivalent

Tools

CRM systems

Job description

What You'll Do

Customer Service

• Handle a high volume of inbound calls from policyholders and providers.
• Provide accurate information regarding insurance policies, benefits, coverage, and claims.
• Resolve customer concerns promptly with a strong focus on first-call resolution.
• Deliver professional, empathetic, and solution-oriented customer service.

Claims Support

• Assist customers and providers with claims-related inquiries and claim status updates.
• Support claim submission processes and clarify reimbursement procedures.
• Educate customers on policy details, benefits, and claims processes.
• Ensure compliance with Medicare and applicable industry guidelines.

Daily Operations

• Maintain accurate records of customer interactions and transactions.
• Collaborate with claims teams and other departments to ensure seamless service delivery.
• Escalate complex issues when necessary while maintaining a positive customer experience.
• Support continuous improvement initiatives and service excellence standards.

Professional Development

• Stay current on Medicare Supplement insurance, healthcare claims processing, CMS regulations, and industry trends.

Qualifications

Experience

• Experience handling high-volume inbound customer calls.
• Knowledge of Medicare Supplement insurance and healthcare claims adjudication processes.
• Strong customer service background with a focus on problem resolution.

Skills

• Exceptional verbal and written communication skills.
• Strong interpersonal and relationship-building abilities.
• Excellent problem-solving and critical-thinking skills.
• High attention to detail and accuracy.
• Ability to multitask and prioritize in a fast-paced environment.
• Experience using customer service software, databases, and CRM systems.
• Ability to work independently and collaboratively within a team environment.

Education

• High school diploma or equivalent required

Ideal Candidate

Customer-focused and empathetic

Strong communicator and active listener

Detail-oriented and organized

Comfortable in a high-volume call environment

Knowledgeable in healthcare insurance and claims processes

Team player with a positive, professional attitude

Job Details:

• Full Time
• In-Office
• Direct Hire

LHH is seeking a Customer Service Representative to join a growing team focused on providing exceptional support to policyholders and healthcare providers.

This position is ideal for someone who thrives in a fast-paced environment, enjoys problem-solving, and has experience supporting customers with insurance-related inquiries, claims, and benefits. The successful candidate will play a key role in delivering accurate information, resolving concerns efficiently, and creating a positive customer experience.

If you're looking for an opportunity to make a meaningful impact while building your career in customer service and insurance operations, we'd love to hear from you!

Equal Opportunity Employer/Veterans/Disabled

Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits, and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.

Pay Details: $46,000.00 to $48,000.00 per year

Equal Opportunity Employer/Veterans/Disabled

Military connected talent encouraged to apply

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance

Massachusetts Candidates Only:

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.