Ultimate Staffing ยท 18 hours ago
Sr. Claims Representative Call Center
Los Angeles County, CA
Full-time
Onsite
Mid, Senior Level
2+ years expUltimate Staffing is seeking an experienced Senior Participant Services Specialist to join their team. This role is responsible for providing exceptional service to participants by handling inquiries, resolving issues, and ensuring accurate processing of claims and benefits.
EmploymentHuman ResourcesManufacturingStaffing Agency
Hiring Manager
Grayson Harvey
Responsibilities
Respond to participant inquiries via phone, email, and other communication channels in a professional and timely manner
Research and resolve complex issues related to benefits, eligibility, claims, and payments
Process claims accurately and efficiently, ensuring compliance with organizational policies and regulatory requirements
Utilize internal systems to update participant records, track inquiries, and document resolutions
Monitor and analyze account activity to identify discrepancies and troubleshoot potential issues
Provide guidance and support to participants regarding plan details, coverage options, and claim status
Collaborate with internal departments to resolve escalated issues and ensure participant satisfaction
Maintain confidentiality and adhere to compliance standards at all times
Assist in training and mentoring junior team members as needed
Participate in team meetings and contribute to process improvement initiatives
Qualification
Required
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
Excellent verbal and written communication skills
Proficient in Microsoft Office Suite (Excel, Word, Outlook)
Ability to manage multiple priorities in a fast-paced environment
Strong problem-solving skills and attention to detail
High level of professionalism and customer service orientation
Preferred
Strong knowledge of healthcare or union benefit plans
Experience with CRM or call center software
Benefits
Competitive salary and benefits package.
Opportunity to work in a collaborative, mission-driven environment.
Professional growth and development opportunities.
Company
Ultimate Staffing
Ultimate Staffing specializes in clerical, administrative, customer service, and manufacturing and production positions.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Lisa Marez
Partnership Director
Company data provided by crunchbase