Claims Service Specialist - Evening In-Office

Sedgwick; Cincinnati (OH); On-site; USD 22,000 - 31,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401k

PTO

Disability insurance

Life insurance

Employee assistance

FSA/HSA

Other benefits

Job summary

Sedgwick seeks a Service Center Representative to handle calls regarding claims across multiple lines of business from an in-office location in Blue Ash, OH.

The role focuses on providing a one-call/one-person resolution, educating customers on requirements and timelines, and directing calls to the appropriate escalation path. A high school diploma or GED is required, with preferred inbound call center experience.

Qualifications

• One year of customer service experience or equivalent combination of education and experience required.
• Inbound call center experience preferred.
• Experience with claims processes is a plus.

Responsibilities

• Acts as primary liaison with callers; follows client specifications in assisting with questions and solving problems related to the claims application and servicing processes.
• Educates customers about required documentation, time frames, payment information, and claim status through multiple channels.
• Educates claimants on client requirements and benefit plans; documents details of each call concisely and professionally.
• Enters verbal and written application information accurately into the claims management system.
• Assigns new claims to the appropriate claims handler.
• Directs calls to the right contact at multiple locations or escalates to management when needed.
• Attendance during scheduled work hours is required.
• Performs other duties as assigned.
• Supports the organization's quality program(s).

Skills

Medical terminology

Claims management

Communication skills

MS Office

Organizational skills

Interpersonal skills

Multitasking

Multiple systems

Teamwork

Performance competencies

Education

High school diploma or GED; College courses preferred

Tools

N/A

Job description

Sedgwick seeks a Service Center Representative to handle calls regarding claims across multiple lines of business from an in-office location in Blue Ash, OH.

The role focuses on providing a one-call/one-person resolution, educating customers on requirements and timelines, and directing calls to the appropriate escalation path. A high school diploma or GED is required, with preferred inbound call center experience.