Claims Adjudication Specialist jobs in United States
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Mass Markets ยท 3 months ago

Claims Adjudication Specialist

MCI is one of the fastest-growing tech-enabled business services companies in the USA, specializing in Customer Experience and Business Process Outsourcing. They are seeking a detail-oriented Claims Adjudication Specialist to handle inbound communications, evaluate warranty claims, and collaborate with customers and service partners to ensure timely resolutions.

ConsultingInformation Technology

Responsibilities

Engage with existing customers through inbound calls and email
Evaluate and process warranty claims with precision, ensuring adherence to policy terms and conditions
Apply critical thinking and analytical skills to make informed, evidence-based decisions quickly
Handle escalated claims and conduct thorough investigations to resolve complex issues efficiently
Collaborate with customers, service partners, and internal teams to deliver an outstanding customer experience
Adapt to evolving processes and technology in a fast-growing business environment
Maintain accurate records of claim resolutions and customer interactions using email management systems and customer service software

Qualification

Claims management systemsContact center platformsCritical thinkingCustomer serviceMS Office proficiencyMultitaskingVerbal communicationWritten communicationProblem-solvingAttention to detail

Required

High school diploma or equivalent (additional certifications are a plus)
1-3 years of experience in one or more of the following: call center, claims adjudication, insurance adjusting, or technical customer service (preferably in a high-volume or protection plan environment)
Proficiency with computers is essential
Proficiency in claims management systems, contact center platforms, and MS Office products
Strong verbal and written communication skills, with attention to grammar and clarity
Strong critical thinking and problem-solving skills with the ability to make well-informed decisions under pressure
Must be able to complete a writing skills test, including sending an email recap of a conversation

Benefits

Paid Time Off: Earn PTO and paid holidays to take the time you need.
Incentives & Rewards: Participate in daily, weekly, and monthly contests that include cash bonuses and prizes ranging from electronics to dream vacations and sometimes even cars!
Health Benefits: Full-time employees are eligible for comprehensive medical, dental, and vision coverage after 60 days of employment, and all employees have access to MEC medical plans after just 30 days. Benefit options vary by location.
Retirement Savings: Secure your future with retirement savings programs, where available.
Disability Insurance: Short-term disability coverage is available to help protect you during unexpected challenges.
Life Insurance: Access life insurance options to safeguard your loved ones.
Supplemental Insurance: Accident and critical illness insurance
Career Growth: With a focus on internal promotions, employees enjoy significant advancement opportunities.
Paid Training: Learn new skills while earning a paycheck.
Fun, Engaging Work Environment: Enjoy a team-oriented culture that fosters collaboration and engagement.
Casual Dress Code: Be comfortable while you work.

Company

Mass Markets

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Leading America based business process outsourcing (BPO) provider specializing in customer service, inside sales and back-office.

Funding

Current Stage
Late Stage
Company data provided by crunchbase