Claims CSR jobs in United States
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Harris Computer ยท 18 hours ago

Claims CSR

Harris Computer is seeking a Claims CSR to provide excellent customer service in interpreting contract benefits and providing claim status. The role involves answering calls, documenting interactions, and collaborating with team members to ensure efficient service delivery.

Responsibilities

Interpret contract benefits accurately to policyholder, agents, and providers with a positive and professional approach
Provide claim status to policyholders or providers with a positive and professional approach
Answer calls as required by company policy in a helpful, professional, timely manner
Place outgoing calls as needed to provide or obtain information
Document (written/on-line) all calls while in progress
Transfer calls to employees in other departments as required to meet customer needs
Fully document policy file or imaging system with all related material so as to leave a clear and concise audit trail
Actively participate in cross training and group training sessions to maximize team efficiency and maintain or exceed service standards
Communicate openly with Supervisor, Team Lead and other team members to ensure accurate responses and avoid duplication of efforts

Qualification

Contract interpretationClaim status knowledgeCall documentationCross training participationAudit trail maintenancePositive attitudeProfessional approachHelpful demeanorTimely communicationTeam collaborationOpen communication

Required

Interpret contract benefits accurately to policyholder, agents, and providers with a positive and professional approach
Provide claim status to policyholders or providers with a positive and professional approach
Answer calls as required by company policy in a helpful, professional, timely manner
Place outgoing calls as needed to provide or obtain information
Document (written/on-line) all calls while in progress
Transfer calls to employees in other departments as required to meet customer needs
Fully document policy file or imaging system with all related material so as to leave a clear and concise audit trail
Actively participate in cross training and group training sessions to maximize team efficiency and maintain or exceed service standards
Communicate openly with Supervisor, Team Lead and other team members to ensure accurate responses and avoid duplication of efforts

Company

Harris Computer

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Harris provides mission-critical software solutions for the Public Sector, Healthcare, Utilities, and Private Sector verticals throughout North America, Europe, Asia, and Australia.

Funding

Current Stage
Late Stage

Leadership Team

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Scott Thomas
Group Leader/CEO - Novum Group, Harris Healthcare (Constellation Software TSX:CSU)
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Diane Gibson, SHRM-CP
Human Resources Business Partner
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Company data provided by crunchbase