Evening Claims Support Specialist

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

Job summary

Sedgwick is seeking a Service Center Representative to provide excellent service to callers on claims across multiple lines of business. The role focuses on expediting the claims application process, documenting call notes, and directing calls to the correct escalation path.

The position requires a high school diploma or GED, 1 year of customer service experience (inbound call center preferred), and strong communication skills.

Qualifications

• High school diploma or GED required. College courses preferred.
• One year of customer service experience or equivalent combination of education and experience required. Inbound call center experience preferred.
• Knowledge of medical terminology.
• Understanding of claims management.
• Excellent oral and written communication skills.
• PC literate, including Microsoft Office products.
• Strong organizational skills.
• Good interpersonal skills.
• Ability to multi task in fast paced environment.
• Ability to support multiple clients across communication channels and utilize multiple systems simultaneously.
• Ability to work in a team environment and/or independently.

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 and informs the customer via multiple communication channels about documentation required to process a claim, required time frames, payment information, and claim status.
• Educates claimants/callers on client requirements and benefit plans documenting all required details of the call in a concise professional manner.
• Enters verbal and written application information that meets both the internal and external customer’s requirements accurately into the claims management system.
• Assigns new claims to the appropriate claims handler.
• Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist/management as needed.
• Attendance during scheduled work hours is required.

Skills

Customer service

Medical terminology

Claims knowledge

Communication skills

PC literacy

Organizational skills

Interpersonal skills

Multitasking

Team player

Education

High school diploma or GED

Job description

Sedgwick is seeking a Service Center Representative to provide excellent service to callers on claims across multiple lines of business. The role focuses on expediting the claims application process, documenting call notes, and directing calls to the correct escalation path.

The position requires a high school diploma or GED, 1 year of customer service experience (inbound call center preferred), and strong communication skills.