Claims Customer Service Representative - 1161

Security Mutual Life; United States; A distancia; USD 26.000 - 29.000; Jornada completa

Descripción de la vacante

Security Mutual Life is seeking a Claims Customer Service Representative to be the initial contact for claimants, beneficiaries, policyowners and others on life and supplemental health claims. You will handle calls, process notices of loss and provide timely claim status information while protecting confidential data.

The role offers primarily remote work with periodic time in the Binghamton, NY or Houston, TX offices. Spanish fluency is a plus and an Associate's degree is required.

Formación

• Minimum 2 years of experience in customer service.
• Experience in an insurance industry or call center environment.
• Health insurance industry customer service experience preferred.
• Fluency in Spanish a plus.

Responsabilidades

• Respond to incoming calls and return calls regarding life and health claims.
• Process first notice of loss gathering policy and claimant details.
• Explain claims process and required documentation clearly.
• Document all interactions in the system and follow up as needed.
• Prepare and send follow-up letters and forms between calls.
• Escalate issues to the appropriate team when needed.

Conocimientos

Customer service

Call center

Microsoft Word

Microsoft Excel

Spanish language

Data entry

Attention to detail

Time management

Adaptability

Educación

Associate's degree in business or related field

Descripción del empleo

Salary Range:$19.02 To $21.03 Hourly

As a Claims Customer Service Representative,you will serve as the initial point of contact for claimants, beneficiaries, policyowners, agents, providers and other authorized parties regarding life and supplemental health claims. Additionally, you will handle incoming and returned calls, process first notice of loss, provide accurate and timely claim status information, send required correspondence and forms, and document all interactions and outcomes in the appropriate systems. This position delivers empathetic, professional service while protecting confidential information and following established claims procedures and service standards.

This position will have the opportunity to work primarily remote with periodic time required in their assigned Company office location (Binghamton, NY or Houston, TX). If you reside in the Greater Houston or Greater Binghamton area, this may be an opportunity for you!

Description of Duties & Responsibilities:

• Respond to incoming calls and complete return calls regarding life and supplemental health claims in a timely, courteous and professional manner.
• Process first notice of loss for all claim types by gathering complete and accurate information, verifying available policy and claimant details, and initiating the claim in the appropriate system.
• Explain the claims process, required documentation, and next steps in clear, understandable language while remaining within the scope of the role and established procedures.
• Provide callers with accurate, up-to-date information regarding claim status, outstanding requirements and correspondence, using approved systems and resources.
• Demonstrate empathy, patience and professionalism when assisting callers who may be experiencing a loss, illness or other difficult circumstances.
• Document each call and interaction in the appropriate system, including the reason for contact, information provided or received, actions taken, commitments made and outcome.
• During periods between calls, prepare and send follow-up letters, claim forms and other required correspondence accurately and within established service standards.
• Access and research information across multiple systems and resources to respond to inquiries, confirm claim details and support accurate processing.
• Route inquiries and claim-related information to the appropriate Claims team member or department for review and handling.
• Identify questions, complaints, sensitive matters or potential issues that require additional review and escalations promptly to the appropriate resource or management.
• Protect confidential, personal and health information and follow all applicable privacy, security and records handling requirements.
• Maintain current knowledge of claims procedures, products, forms, systems, and service expectations through training, reference materials and coaching.
• Maintain established service metrics for the Claims call queue, including availability, responsiveness, call handling, and completion of required follow-up activities.
• Perform other duties and responsibilities as needed or assigned by management.

Required skills & experience:

• Minimum of 2 years of experience in Customer Service.
• Experience in an insurance industry or call center environment.
• Health insurance industry customer service experience preferred.
• Fluency in Spanish a plus.
• Basic knowledge of Microsoft Word and Excel.
• Excellent written and verbal communication skills.
• Excellent data entry skills.
• Ability to perform work accurately and thoroughly.
• Ability to pay close attention to detail.
• Ability to prioritize and organize a heavy workload.
• Ability to work a flexible schedule with occasional overtime.

Education Required:Associate’s degree in business or related field.

Pay Range: $19.02 to $21.03 hourly