Service Center Representative | Shift Schedule: Monday-Friday 3pm -11pm with rotating Saturdays[...]

Sedgwick Claims Management Services Ltd; Cincinnati (OH); On-site; USD 22,000 - 30,000; Full time

Job summary

Sedgwick is seeking a Service Center Representative in Blue Ash, OH. You will provide excellent service to callers about claims, expedite the application process, and document calls with precision. The role emphasizes clear communication and accuracy in handling claim information across channels.

Knowledge of medical terminology and claims management is helpful. The position requires the ability to multi-task in a fast-paced environment and to work collaboratively or independently as needed.

Qualifications

• High school diploma or GED required.
• 1 year of customer service experience preferred.
• Inbound call center experience preferred.

Responsibilities

• Act as primary liaison with callers and handle claims questions.
• Educate customers on documentation, time frames, and claim status.
• Enter application information accurately into the claims system.
• Direct calls to appropriate escalation paths as needed.

Job description

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top CompaniesCertified as a Great Place to WorkFortune Best Workplaces in Financial Services & InsuranceService Center Representative | Shift Schedule: Monday-Friday 3pm -11pm with rotating Saturdays from 10am-6pmShift Schedule: Monday-Friday 3pm-11pm with rotating Saturdays, 10am-6pmLocation: In-Office, Blue Ash, OHPRIMARY PURPOSE : To provide excellent service to callers regarding claims for multiple lines of business; to expedite the claims application process and provide detailed claim notes on all calls; to resolve issues with one call/one person response; and to direct calls to appropriate escalation path as needed.ESSENTIAL FUNCTIONS and RESPONSIBILITIESActs 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.ADDITIONAL FUNCTIONS and RESPONSIBILITIESPerforms other duties as assigned.Supports the organization's quality program(s).QUALIFICATIONSEducation & LicensingHigh school diploma or GED required. College courses preferredExperienceOne (1) year customer service experience or equivalent combination of education and experience required. Inbound call center experience preferred.Skills & KnowledgeKnowledge of medical terminologyUnderstanding of claims managementExcellent oral and written communication skillsPC literate, including Microsoft Office productsStrong organizational skillsGood interpersonal skillsAbility to multi task in fast paced environmentAbility to support multiple clients across communication channels and utilize multiple systems simultaneouslyAbility to work in a team environment and/or independentlyAbility to meet or exceed Performance CompetenciesWORK ENVIRONMENTWhen applicable and appropriate, consideration will be given to reasonable accommodations.Mental : Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlinesPhysical: Computer keyboarding, travel as requiredAuditory/Visual: Hearing, vision and talkingThe statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is 19.00 . A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.