Service Center Representative
Company | Sedgwick Claims Management Services |
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Location | Bartlesville, OK, USA |
Salary | $Not Provided – $Not Provided |
Type | Full-Time |
Degrees | |
Experience Level | Entry Level/New Grad, Junior |
Requirements
- High school diploma or GED required
- College courses preferred
- One (1) year customer service experience or equivalent combination of education and experience required
- 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
- Ability to meet or exceed Performance Competencies
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.
Preferred Qualifications
- Inbound call center experience preferred