Claims Service Representative

Builders; Atlanta (GA); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Competitive Salary

Bonus Structure

Profit Sharing

Medical, Dental, Vision Insurance

Employer Paid Short Term Disability

Employer Paid Long Term Disability

Employer Paid Life Insurance

Voluntary Life Insurance

401K with Company Match

PTO

Job summary

Builders seeks a Claims Service Representative to handle initial reports, communicate coverage details, and support claims processing with superior customer service. You will work with insured individuals, agents, and internal teams to ensure accurate documentation and timely responses.

Ideal candidates bring a high school diploma and 1+ year experience in workers' compensation claims, plus proficient MS Office skills and the ability to work autonomously while coordinating with leadership.

Qualifications

• High school diploma and 1+ years in a workers' compensation claims role or equivalent.
• Strong verbal and written communication with confidentiality.
• Ability to work autonomously and collaborate across teams.

Responsibilities

• Input initial injury and loss reports from mail, fax, phone, and email.
• Initiate inbound/outbound calls to resolve customer concerns.
• Provide information on coverage and basic claims inquiries.
• Request first reports of injury for unmatched mail and complete state forms.
• Coordinate transmission of claim docs to defense attorneys and vendors.
• Dispatch initial claim correspondence and record details in the system.
• Coordinate retrieval of medical notes and bills; process payments and orders.

Skills

Communication

Confidentiality

Interpersonal

Customer service

Problem solving

Time management

Multi-tasking

MS Office

Education

High school diploma

Tools

Claim Management System

Microsoft Office

Job description

Brief Description

Integrity. Care. Trust. Compassion. Expertise.

Do these words resonate with you?

These values of Builders culture create success in all we do. We strive to provide deeply supportive partnerships to our customers, agents, and each other.

Brief Description

Integrity. Care. Trust. Compassion. Expertise.

Do these words resonate with you?

These values of Builders culture create success in all we do. We strive to provide deeply supportive partnerships to our customers, agents, and each other.

Builders is proud to be named among the Great Places to Work. Our award-winning culture has earned top marks in Company Direction, Employee Appreciation, Work-Life Balance, Leadership, and Compensation and Benefits. Our strong culture keeps us Built Strong in a forever-changing world, and our AM Best A Rating is evidence of our financial strength.

Position Summary

The Claims Service Representative engages with insured individuals, agents, and internal colleagues to execute fundamental claims processing responsibilities, while delivering basic information with a superior standard of customer service.

• Input all initial reports of injury and loss claims received via mail, fax, phone, and email.
• Initiate and receive inbound and outbound calls to effectively resolve customer concerns.
• Deliver exceptional customer service to agents and insured individuals by confirming coverage details and addressing general claims inquiries.Originate initial contact regarding all lost time and medical only claims.
• Request first reports of injury for unmatched mail and accurately complete state forms.
• Facilitate the preparation and transmission of claim documents to defense attorneys and other vendors.
• Dispatch initial claim correspondence.
• Record document details in Claim Management System.
• Coordinate the retrieval of medical notes and bills from providers.
• Process bill payments, organize incoming mail, update client information, process check printing, and manage supply orders.
• Perform other duties as assigned.

• High school diploma and one or more years of customer service experience in a workers' compensation claims environment; or equivalent combination of education and experience
• Proficient in both verbal and written communication with the ability and commitment to maintain confidentiality
• Skill in interpersonal interactions, with the ability to collaborate effectively with individuals at all organizational levels and with external stakeholders; skill in customer service and problem-solving
• Capacity to work autonomously while ensuring transparent communication with internal leadership
• Skill in time and organizational management; ability to multi-task effectively while paying attention to detail
• Proficient with Microsoft Office Suite and function specific software applications

Let’s talk benefits!

• Competitive Salary
• Bonus Structure
• Profit Sharing
• Medical, Dental, Vision Insurance
• Employer Paid Short Term Disability
• Employer Paid Long Term Disability
• Employer Paid Life Insurance
• Voluntary Life Insurance
• 401K with Company Match
• PTO

About Builders

Builders is a mid-sized mutual with remarkable strengths. Rated A by AM Best, Builders has forged rock-solid financial strength and a reputation for reliability and fairness in fulfilling our promises to customers. Kind, collaborative, and customer-centric, our experienced and passionate teams foster a rewarding atmosphere of excellence, trust, and mutual respect, meriting the "Culture Excellence" honors from Top Workplaces. Flexible and highly personal, our experts leverage deeply supportive partnerships with knowledgeable independent agencies to drive better services and protection for policyholders.

Our financial excellence, amazing people, and powerful partnerships build outstanding outcomes and peace of mind for our agents and their clients. This is what we mean by Insurance Built Strong.

Builders Insurance Group is an Equal Opportunity Employer. We welcome applicants from all walks of life and don't discriminate based on any protected status. Join us in creating a diverse and inclusive workplace! If, during the application process you need assistance, or an accommodation due to a disability, please contact [e-mail].