Customer Care Representative - Claims

Reliance Matrix; United States; Hybrid; USD 21,000 - 29,000; Full time

Benefits offered by this job

Annual performance bonus

401(k) company match

Medical plans

Health Savings Account

Dental and vision coverage

Life & Disability Insurance

Paid Time Off

Holidays

Tuition Reimbursement

Hybrid work arrangements

Parental Leave

Volunteer days

EAP

Job summary

Reliance Matrix seeks a Customer Care Representative to handle inbound calls from claimants nationwide with empathy and professionalism. You will document information in our systems, maintain confidentiality, and deliver timely, high-quality service.

The role requires strong communication, attention to detail, and the ability to work independently or in a hybrid remote setting. You’ll join a team focused on accuracy, compassion, and responsive support for diverse clients.

Qualifications

• Experience in customer service or call center preferred.
• Ability to type and speak clearly.
• Excellent written and verbal communication.
• Strong attention to detail and confidentiality.
• Experience with HIPAA and handling sensitive information.
• Ability to work independently and remotely.
• Knowledge of medical terminology helpful.

Responsibilities

• Handle inbound calls from clients nationwide.
• Document client information into the system accurately.
• Respond to inquiries promptly and professionally.
• Provide exceptional customer service and support.
• Maintain confidentiality and HIPPA compliance.
• Meet departmental deadlines and KPIs.
• Assist with other duties as assigned.

Skills

Customer service

Typing and talking

Active listening

Attention to detail

Remote work capability

MS Office

Communication skills

Empathy

Tools

MS Office

Job description

Job Responsibilities and RequirementsThe Customer Care Representative will display a high level of compassion on a daily basis showing empathy, sympathy, and developed coping skills to maintain professionalism in every situation over the phone. This individual will treat every claimant with a high level of integrity demonstrating accountability; respectful and reliable. Willingness to help teammates while accepting other duties as assigned, as needed. Demonstrate a strong worth ethic, the ability to self-motivate and work well independently, while being focused and disciplined in a professional environment. Provide effective verbal and written communication skills timely while providing excellent customer service. Use judgment with a sense of urgency to make accurate decisions and utilizes available resources. Has the ability to multitask, remain organized and be detailed oriented, takes initiative and able to adapt to different working environments. This position will manage inbound calls for claimant related leaves and/or Intake applications, and perform outbound voice work tasks related to selected clients and claimants.Answer inbound calls from clients and claimants across the countryAccurately file and document client/claimant specific information into the applicable systemAdhere to all department standardsRespond to client and claimant inquiries in a timely and efficient mannerConsistently deliver exceptional customer service. Measured by the results of our Quality Monitoring programAbility to communicate effectively with all levels of management.Demonstrate confidence, strong decision quality and sound judgment when assisting claimants.Resolves routine administrative technical issues for applicable source systemsAnswer related claims questions for applicable clients specific to the Intake process and reporting missed timeResponsible and accountable for maintaining and protecting personal health information. Must maintain a high level of confidentiality and abide by HIPPA rules and regulationsReliable, regular, and predictable attendance to ensure appropriate staffing to handle call volumeAll other duties as assigned Key Competencies:Strong customer service skills: Polite, Friendly, and HelpfulAbility to type and talkProven patience and understandingActive listening skillsStrong attention to detailDemonstrated compassionAbility to work independently and remotelyAbility to communicate effectively in both verbal and written interactionsAbility to handle confidential information with the utmost judgment and discretionExceptional interpersonal communication skills and the ability to work with a diverse workforce.Proficient at maneuvering on a PC with working knowledge of MS Office (Word, Excel and Outlook).Ability to manage and meet departmental deadlines and key performance indicatorsDemonstrated ability in verbal and written skills, and reading comprehension.Proven experience in providing quality customer service (preferably a call center)Knowledge of medical terminology preferredExperience using web based programsHigh Speed home internet installed for Remote/Teleworker*Work EnvironmentReliance Matrix’s Customer Care Center operates 24 hours per day/7-days per week. We offer a variety ofschedules due to this scope of coverage.A Customer Care Representative must be available to work a scheduled shift between the core business hours; Mon-Fri 4am to 8pm Arizona time, and open to working some Holidays.Customer Care Representative must be willing and able to work sitting in one place taking calls and speaking for the entirety of their scheduled shift (excluding scheduled breaks and lunches).Customer Care Representative must be willing and able to work in a fast-paced, team oriented, dynamic inbound/outbound call center.Customer Care Representative must have predictable and reliable attendance and adherence to their daily and weekly assigned schedule.PHYSICAL REQUIREMENTSWhen used in the description below, the following terms are defined as:“Occasional”: done only from time to time, but necessary when it is performed“Frequent”: regularly performed; generally an act that is required on a daily basis“Continuous”: typically performed for the majority of an employee’s shiftSitting for prolonged periods of time, extensive typing and otherwise using primarily the fingers rather than the entire hand. Employee is required to have visual acuity sufficient to perform activities such as preparing and analyzing data and figures; transcribing notes; viewing a computer terminal and extensive reading. Employee is required to have hearing sufficient to understand verbal instruction and answer telephones. Reliance Standard Life Insurance will provide qualified employees with a reasonable accommodation in accordance with applicable law.The above description reflects the general details considered necessary to describe the principle responsibilities and functions of the job identified and shall not be construed as a detailed description of all the work requirements that may be inherent to this job.The expected hiring range for this position is $18.00 hourly. This expected hiring range covers only base pay and excludes any other compensation components such as commissions or incentive awards. The successful candidate’s starting base pay will be based on several factors including work location, job-related skills, experience, qualifications, and market conditions. These ranges may be modified in the future.Work location may be flexible if approved by the Company.What We OfferAt Reliance Matrix, we believe that fostering an inclusive culture allows us to realize more of our potential. And we can’t do this without our most important asset—you.That is why we offer a competitive pay package and a range of benefits to help team members thrive in their financial, physical, and mental wellbeing.Our Benefits:An annual performance bonus for all team membersGenerous 401(k) company match that is immediately vestedA choice of three medical plans (that include prescription drug coverage) to suit your unique needs. For High Deductible Health Plan enrollees, a company contribution to your Health Savings AccountMultiple options for dental and vision coverageCompany provided Life & Disability Insurance to ensure financial protection when you need it mostFamily friendly benefits including Paid Parental Leave & Adoption AssistanceHybrid work arrangements for eligible rolesTuition Reimbursement and Continuing Professional EducationPaid Time Off – new hires start with at least 20 days of PTO per year in addition to nine company paid holidays. As you grow with us, your PTO may increase based on your level within the company and years of service.Volunteer days, community partnerships, and Employee Assistance ProgramAbility to connect with colleagues around the country through our Employee Resource Group programOur Values:IntegrityEmpowermentCompassionCollaborationFunEEO StatementReliance Matrix is an equal opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, national origin, citizenship, age or disability, or any other classification or characteristic protected by federal or state law or regulation. We assure you that your opportunity for employment depends solely on your qualifications.#LI-Remote #LI-MR1