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Customer Service Representative I
at Sedgwick CMS in California
Customer Service Representative I
CLAIM YOUR FUTURE AS A GREAT PERFORMER!
Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Claims Management Services the place where great people can do great things for clients while maximizing their career possibilities. We have earned a reputation for innovation, quality, sustained growth, financial stability and a colleague-friendly work environment. We are proud to have been voted the Best TPA in America for 2005 and 2006, and the first and only Third Party Administrator to receive the coveted Employer of Choice designation. Come be a part of our team and "Claim Your Future."
PRIMARY PURPOSE:
To expedite the claims application process; to ensure correct case assignment; and to act as a customer liaison in assisting the customer with the correct contact person to resolve problems and/or questions.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
1. Acts as primary liaison with customer in solving problems related to the application process and service.
2. Communicates clearly and professionally with the customer by telephone and/or written correspondence regarding all aspects of claims process.
3. Educates and informs the customer by telephone, written correspondence and/or the claims system about the documentation required to process a claim, required time frames, payment information and claim status.
4. Enters verbal and written application information that meets both the internal and external customer's requirements accurately into the claims management system.
5. Assigns new claims to the appropriate claims handler.
6. Directs customer calls to the correct person at all locations.
7. Participates in and maintains a quality service culture within the Customer Service Team.
8. Supports the organization's quality program(s).
QUALIFICATIONS
Education & Licensing
High school diploma or GED required.
Experience
One (1) year customer service experience required, preferably in an inbound call center.
Skills & Knowledge
-Knowledgeable in disability plan eligibility, coverage and benefits
-Good customer service skills
-Excellent oral and written communication, including presentation skills
-PC literate, including Microsoft Office products
-Strong organizational skills
-Good interpersonal skills
-Ability to work in a team environment
-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
The 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.
Sedgwick CMS is an Equal Opportunity Employer
and a
Drug-Free Workplace
How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar: http://sedgwickcms.contacthr.com/19925038
CLAIM YOUR FUTURE AS A GREAT PERFORMER!
Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Claims Management Services the place where great people can do great things for clients while maximizing their career possibilities. We have earned a reputation for innovation, quality, sustained growth, financial stability and a colleague-friendly work environment. We are proud to have been voted the Best TPA in America for 2005 and 2006, and the first and only Third Party Administrator to receive the coveted Employer of Choice designation. Come be a part of our team and "Claim Your Future."
PRIMARY PURPOSE:
To expedite the claims application process; to ensure correct case assignment; and to act as a customer liaison in assisting the customer with the correct contact person to resolve problems and/or questions.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
1. Acts as primary liaison with customer in solving problems related to the application process and service.
2. Communicates clearly and professionally with the customer by telephone and/or written correspondence regarding all aspects of claims process.
3. Educates and informs the customer by telephone, written correspondence and/or the claims system about the documentation required to process a claim, required time frames, payment information and claim status.
4. Enters verbal and written application information that meets both the internal and external customer's requirements accurately into the claims management system.
5. Assigns new claims to the appropriate claims handler.
6. Directs customer calls to the correct person at all locations.
7. Participates in and maintains a quality service culture within the Customer Service Team.
8. Supports the organization's quality program(s).
QUALIFICATIONS
Education & Licensing
High school diploma or GED required.
Experience
One (1) year customer service experience required, preferably in an inbound call center.
Skills & Knowledge
-Knowledgeable in disability plan eligibility, coverage and benefits
-Good customer service skills
-Excellent oral and written communication, including presentation skills
-PC literate, including Microsoft Office products
-Strong organizational skills
-Good interpersonal skills
-Ability to work in a team environment
-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
The 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.
Sedgwick CMS is an Equal Opportunity Employer
and a
Drug-Free Workplace
How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar: http://sedgwickcms.contacthr.com/19925038
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Viewed: 290 times
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