Relation Insurance Services · 3 days ago
Claims Service Representative - TPA
Jacksonville, FL
Part-time
Onsite
Entry Level
$14.90/hr - $23.56/hr
1+ years expRelation Insurance Services is looking for a Claims Service Representative who possesses strong interpersonal and organizational skills. The primary responsibility of this role is to provide exceptional service to clients and vendors while managing claims processing and related administrative tasks.
ConsultingEmployee BenefitsFinancial ServicesInsuranceRetirement
Responsibilities
Pulls and copies claims for quality assurance technician
Handles and resolves first level network, PC and equipment issues
Coordinates the internal scanning and retention of paper claims and other miscellaneous documents such as provider contracts, check work and appeals
Processes claims based on medical necessity decisions from KP
Uses scripts to pay/adjust large amount of claims very quickly, as needed
Runs and formats daily claim reports for internal and external review
Processes check run activities and distributes associated reports
Distributes reports to the Claims staff
Performs other projects, duties, and tasks, as assigned
Qualification
Required
High School Diploma or its equivalent
1-2 years' experience in Customer Service with preference given to claims experience
Claims experience preferred
Excellent written and verbal communications skills are required to maintain effective relationships with clients, co-workers, vendors and others
Proficient skills in Microsoft Office Suite (primarily Excel, PowerPoint and Word)
Excellent customer service skills
Ability to prioritize and handle multiple tasks in a demanding work environment
Willingness to adhere to all principles of confidentiality
Ability to work independently and on a team
Ability to meet deadlines
Ability to show initiative, good judgment, and resourcefulness
Organized and detail oriented
Ability to represent the company well to external organizations, clients and vendors
Preferred
Claims experience preferred
Benefits
Family health and wellness programs
401K
Employee assistance programs
Paid time off
Paid holidays
Company
Relation Insurance Services
Despite our size, Relation feels like a family company. Here, a handshake matters.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2019-02-21Acquired
Leadership Team
Charissa Hartmann
Chief Financial Officer
Brandon Youngfountain
Executive Vice President, Mergers & Acquisitions
Recent News
Mergers & Acquisitions
2025-11-11
2025-08-29
2025-08-26
Company data provided by crunchbase