Claims Support/Customer Service Representative jobs in United States
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Point C ยท 2 weeks ago

Claims Support/Customer Service Representative

Point C is a National third-party administrator (TPA) that delivers customized self-funded benefit programs. The Claims Support / Customer Service Representative plays a key role in supporting claims operations by providing exceptional customer service and administrative support, assisting members and clients with claims-related inquiries, and ensuring timely processing of documentation.

Health CareHealth InsuranceHospital

Responsibilities

Serve as a first point of contact by answering incoming calls, assisting callers with claims-related inquiries, and routing calls as needed
Provide high-quality customer service to members, clients, and internal stakeholders via phone, email, and written correspondence
Support claims operations by repricing health claims, creating and distributing documentation, and maintaining accurate databases and records
Manage incoming and outgoing correspondence, including mail, faxes, and electronic communications
Collect, file, organize, and maintain confidential office and claims-related documents in both physical and digital formats
Ensure proper handling of sensitive and encrypted documents in compliance with company policies and privacy requirements
Assist with general administrative tasks to support efficient day-to-day office and claims operations

Qualification

Customer service skillsCommunication skillsComputer proficiencyOrganizational skillsAttention to detailTeam collaborationTime management

Required

Strong written and verbal communication skills, including the ability to actively listen and clearly explain information
Excellent organizational and time-management skills with the ability to prioritize tasks and manage multiple responsibilities
Demonstrated customer service skills with a professional, positive, and empathetic approach
Proficiency with basic computer applications, including word processing, spreadsheets, email, and database systems
High attention to detail and accuracy when handling data and documentation
Ability to work independently with minimal supervision while also collaborating effectively as part of a team

Benefits

Comprehensive medical, dental, vision, and life insurance coverage
401(k) retirement plan with employer match
Health Savings Account (HSA) & Flexible Spending Accounts (FSAs)
Paid time off (PTO) and disability leave
Employee Assistance Program (EAP)

Company

Point C

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Point C is a network of self-insured healthcare plan third-party administrators.

Funding

Current Stage
Growth Stage
Total Funding
unknown
Key Investors
Shore Capital Partners
2024-11-19Series Unknown

Leadership Team

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Ben Frisch
Chief Executive Officer
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William Mcnally, CPA
Chief Financial Officer
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Company data provided by crunchbase