Claims Customer Service Representative

Southwest Service Administrators; Murray (UT); On-site; USD 23,419 - 30,307; Full time

Benefits offered by this job

Medical, Dental, Vision insurance

401(k) Plan with company match

Paid personal leave & vacation

Job summary

The Benefit & Claims Customer Service Representative at Southwest Service Administrators handles health and welfare benefits and claim status inquiries for hospitals, providers, and participants. The role emphasizes high-quality service and accurate documentation of inquiries in a professional manner.

Qualifications include a minimum high school diploma or GED, strong typing (40 wpm), knowledge of medical terminology, and English/Spanish language skills preferred.

Qualifications

• Minimum High School Diploma or GED.
• Typing speed 40 wpm.
• Knowledge of medical terminology preferred.
• Bilingual English/Spanish preferred.
• Experience in a medical setting helpful.

Responsibilities

• Provide high quality customer service to Fund members by documenting inquiries regarding benefits or claim status.
• Respond to and resolve complex issues, including escalations by members.
• Serve as primary daily contact for clients on delivery of services.
• Resolve complex plan provision questions and issues addressed.
• Raise issues to Team Supervisor or Department Manager.
• Learn and use professional excellence tools to ensure efficient output.

Skills

Typing 40 wpm

Medical terminology

Bilingual English/Spanish

Customer service

Education

High School Diploma or GED

Job description

Job Details

Job Location: Salt Lake City, UT - Murray, UT 84123
Position Type: Full‑Time
Salary Range: $17.00 - $22.00 per hour

Overview

The Benefit & Claims Customer Service Representative provides information on health and welfare benefits and claim status to hospitals, providers, and participants. Additionally, this position is responsible for delivering high quality customer service while documenting telephone, written, and walk‑in inquiries regarding benefits or claim status in an efficient, prompt, and professional manner.

Responsibilities

Customer Service

• Provide high quality customer service to all Fund members by documenting telephone, written, and walk‑in inquiries regarding benefits or claim status efficiently and professionally.
• Respond to and resolve complex issues, including those escalated by members.
• Serve as primary daily contact for clients on delivery of services.
• Resolve complex plan provision questions and issues addressed.
• Raise issues as appropriate to Team Supervisor or Department Manager.
• Learn and use professional excellence tools and concepts to ensure efficient and quality output/service delivery.

Teamwork

• Work cooperatively with other team members.
• Actively participate in team meetings and training activities.
• Perform additional responsibilities and projects as periodically assigned.

Qualifications

Education/Certification

• Minimum High School Diploma or GED.

Skills/Abilities

• Minimum 40 words per minute typing speed and 3,000 characters per hour proficiency.
• Prior experience in a medical setting (doctor’s billing office, hospital billing, etc.) is helpful.
• Knowledge of medical terminology preferred.
• Ability to maintain current knowledge of plan benefits to provide correct information to plan participants and providers.
• Professional, client‑focused approach to colleagues and assignments.
• Strong oral and written communication skills with exceptional attention to detail.
• Ability to seek out experiences that may change perspective or provide an opportunity to learn new things.
• Strong dedication to follow‑through on all tasks and assignments.
• Ability to sit for long periods of time operating a computer keyboard.
• Ability to speak, read, and write in both English and Spanish preferred.

Employee Benefits Program

• Medical, Dental, Vision insurance.
• Short‑Term Disability.
• Full coverage benefits with a low weekly premium of $5 for Employee Only, $15 for Child(ren), and $20 per week for full family or Employee/Spouse.
• Company‑paid supplemental dental coverage of $1,000 per year for Employee.
• Company‑paid Long‑Term Disability & Life/AD&D coverage.
• 401(k) Plan including company match up to 5%.
• Company‑paid additional pension plan entirely funded by the company.
• Exceptional time‑off package including Paid Personal Leave (PPL) and vacation with annual buy‑back options.
• Annual, automatic pay increases.

EEO Statement

Southwest Service Administrators provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, pregnancy, military and veteran status, age, physical and mental disability, genetic characteristics, or any other considerations made unlawful by applicable state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Southwest Service Administrators expressly prohibits any form of workplace harassment based on race, color, religion, sex, national origin, pregnancy, military and veteran status, age, physical and mental disability, or genetic characteristics.