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17Aug

Service Center Representative

Sedgwick CMS, Dubuque, IA Dubuque, IA

Service Center Representative

CLAIM YOUR FUTURE AS A GREAT PERFORMER!

PRIMARY 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 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 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.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

  • Performs other duties as assigned.
  • Supports the organization's quality program(s).

QUALIFICATIONS

Education & Licensing
High school diploma or GED required. College courses preferred

Experience
One (1) year customer service experience or equivalent combination of education and experience required. Inbound call center experience preferred.

Skills & Knowledge

  • 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

WORK ENVIRONMENT
When 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 deadlines

Physical: Computer keyboarding, travel as required

Auditory/Visual: Hearing, vision and talking

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Job Details

Req Num --
ID 409157
Location
Dubuque, IA
Dubuque, IA
Positions 5
Type
Employee
Status
Full Time
Pay --
Categories
Customer Service
Insurance
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Retirement Plan
Paid Vacation
Paid Sick Leave
Paid Holidays
Tuition Reimbursement

Preferred Candidates

Years of Experience --
Education High School/GED

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