Claims Customer Service Representative

Job Summary

Providing high-quality service to internal and external customers, the full-time Claims Customer Service Representative will manage incoming claims-related inquiries, process data into claims systems, and ensure proper documentation while working remotely.

Key responsibilities

• Process incoming calls, faxes, and voicemails from claimants and other stakeholders, resolving claims-related questions and issues
• Communicate claims status and current activity to clients and medical contacts, addressing jurisdiction- and claim-specific inquiries
• Enter data into claims systems, ensuring accurate documentation and claims coding

Required qualifications

• High school diploma or equivalent
• Two years of administrative and/or customer service experience
• Experience with claims processing and data entry
• Proficiency in Microsoft Office products
• Professional certification as applicable to the line of business preferred