Customer Care Representative - Claims

Reliance Matrix; United States; Remote; USD 25,000 - 30,000; Full time

Benefits offered by this job

Performance bonus

401(k) match

Medical plans

Dental & vision coverage

Life & disability insurance

Paid time off

Job summary

Reliance Matrix is seeking a Customer Care Representative to handle inbound calls and intake applications nationwide. You will document claimant information accurately, uphold HIPAA confidentiality, and deliver professional, empathetic service.

The role supports remote work and requires reliable attendance within a 24/7 operation. The position emphasizes stringent data handling, effective communication, and meeting departmental standards, with opportunities for flexible scheduling within the

Qualifications

• Answer inbound calls from clients nationwide.
• Document client/claimant information into the system accurately.
• Maintain confidentiality and HIPAA compliance in handling PHI.
• Provide timely, professional customer service and clear communication.
• Willingness to work remotely and adhere to schedules.

Responsibilities

• Answer inbound calls from clients and claimants across the country.
• Accurately file and document client/claimant specific information into the applicable system.
• Adhere to all department standards.
• Respond to client and claimant inquiries in a timely and efficient manner.
• Consistently deliver exceptional customer service as measured by Quality Monitoring results.
• Ability to communicate effectively with all levels of management.
• Demonstrate confidence, strong judgment, and decision quality when assisting claimants.
• Resolves routine administrative issues for applicable source systems.
• Maintain confidentiality and HIPAA compliance in handling PHI.
• Reliable, regular attendance to handle call volume.
• All other duties as assigned.

Skills

Customer service

Typing

Patience

Attention to detail

Remote work

Confidentiality

MS Office

Call center experience

Medical terms knowledge

Web apps

Home internet

Tools

MS Office

Job description

Job Responsibilities And Requirements

The 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 country
• Accurately file and document client/claimant specific information into the applicable system
• Adhere to all department standards
• Respond to client and claimant inquiries in a timely and efficient manner
• Consistently deliver exceptional customer service. Measured by the results of our Quality Monitoring program
• Ability 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 systems
• Answer related claims questions for applicable clients specific to the Intake process and reporting missed time
• Responsible and accountable for maintaining and protecting personal health information. Must maintain a high level of confidentiality and abide by HIPPA rules and regulations
• Reliable, regular, and predictable attendance to ensure appropriate staffing to handle call volume
• All other duties as assigned
• Strong customer service skills: Polite, Friendly, and Helpful
• Ability to type and talk
• Proven patience and understanding
• Strong attention to detail
• Demonstrated compassion
• Ability to work independently and remotely
• Ability to communicate effectively in both verbal and written interactions
• Ability to handle confidential information with the utmost judgment and discretion
• Exceptional 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 indicators
• Demonstrated ability in verbal and written skills, and reading comprehension.
• Proven experience in providing quality customer service (preferably a call center)
• Knowledge of medical terminology preferred
• Experience using web based programs
• High Speed home internet installed for Remote/Teleworker*
• Reliance Matrix’s Customer Care Center operates 24 hours per day/7-days per week. We offer a variety of schedules 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.

Key Competencies

• Strong customer service skills: Polite, Friendly, and Helpful
• Ability to type and talk
• Proven patience and understanding
• Active listening skills
• Strong attention to detail
• Demonstrated compassion
• Ability to work independently and remotely
• Ability to communicate effectively in both verbal and written interactions
• Ability to handle confidential information with the utmost judgment and discretion
• Exceptional 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 indicators
• Demonstrated ability in verbal and written skills, and reading comprehension.
• Proven experience in providing quality customer service (preferably a call center)
• Knowledge of medical terminology preferred
• Experience using web based programs
• High Speed home internet installed for Remote/Teleworker*

Work Environment

• Reliance Matrix’s Customer Care Center operates 24 hours per day/7-days per week. We offer a variety of schedules 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 Requirements

When 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 shift

Sitting 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 - $22.00 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 Offer

At 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.

Our Benefits

• An annual performance bonus for all team members
• Generous 401(k) company match that is immediately vested
• A 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 Account
• Multiple options for dental and vision coverage
• Company provided Life & Disability Insurance to ensure financial protection when you need it most
• Family friendly benefits including Paid Parental Leave & Adoption Assistance
• Hybrid work arrangements for eligible roles
• Tuition Reimbursement and Continuing Professional Education
• Paid 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 Program
• Ability to connect with colleagues around the country through our Employee Resource Group program

Our Values

• Sustainable Performance
• Continuous Improvement
• Customer Experience
• Collaboration
• Empowerment
• Sense of Community

EEO Statement

Reliance 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.