Customer Service Representative - Claims jobs in United States
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MICA · 1 week ago

Customer Service Representative - Claims

MICA is a leading provider of medical professional liability insurance in Arizona, dedicated to supporting the healthcare community since 1976. They are currently seeking a Customer Service Representative to join their Claims team, serving as the primary point of contact for claim information and ensuring high-quality service to customers.

ConsultingFinancial ServicesInsuranceMedical

Responsibilities

Serve as the primary contact for taking First Notice of Loss calls and coordinating follow-up activity
Enter claims information promptly and accurately into company data systems
Provide exceptional customer service to both internal and external customers
Research and respond to non-technical claims inquiries, ensuring timely resolution
Monitor referred inquiries to Claim Representatives to maintain service quality
Perform month-end duties on a rotating basis, including reporting, data cleanup, and balancing tasks
Compile and communicate data in compliance with state and federal regulations and company policies
Assist with maintaining vendor and reporting system information
Support Authority Committee Meetings and assist with monthly management reports
Provide back-up coverage for teammates as needed and collaborate across departments
Stay current on policies, procedures, cybersecurity practices, and ongoing process improvements
Complete required cybersecurity and compliance training modules
Perform additional duties and projects as assigned

Qualification

Customer service experienceClaims process knowledgeMedical terminologyData entry skillsMicrosoft Office proficiencyInterpersonal skillsConflict resolutionOrganizational skillsTeam collaboration

Required

High School diploma or equivalent required
Minimum of two years of related customer service or claims experience
Strong interpersonal, telephone, and written communication skills
Ability to handle customer interactions with professionalism, empathy, and courtesy
Excellent attention to detail and ability to efficiently complete data entry tasks
Strong organizational skills with the ability to prioritize multiple responsibilities
Proficiency with Windows, Microsoft Office, and internet/intranet systems
Ability to work independently while contributing positively to a team environment

Preferred

AA degree or higher preferred
Familiarity with the insurance claims process and medical terminology preferred
Knowledge of conflict resolution practices preferred

Benefits

Comprehensive insurance with low deductibles
Hybrid work schedule after initial onboarding
13 paid holidays (including 3 floating days)
401(k) with company match up to 6%
Pension plan
Tuition reimbursement up to $5,250 per year

Company

MICA

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MICA is a wide platform that specializes in extending its services for families and individuals seeking medical financial protection.

Funding

Current Stage
Growth Stage
Total Funding
$0.12M
Key Investors
Techstars
2023-01-02Pre Seed· $0.12M

Leadership Team

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Edward Marley
President & Chief Executive Officer
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Susan Orris
Vice President, Underwriting
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Company data provided by crunchbase