Senior Claims Representative

Job Summary

A company is looking for a Senior Claims Representative in a call center environment.

Key Responsibilities

• Respond to participant inquiries via various communication channels in a professional manner
• Research and resolve complex issues related to benefits, eligibility, claims, and payments
• Process claims accurately and efficiently while ensuring compliance with policies and regulations

Qualifications

• Minimum of 2-3 years of experience in claims processing, benefits administration, or participant services
• Prior experience in a high-volume call center environment required
• Strong knowledge of healthcare or union benefit plans preferred
• Proficient in Microsoft Office Suite; experience with CRM or call center software is a plus
• Ability to manage multiple priorities in a fast-paced environment