Southwest Service Administrators, Inc. · 5 hours ago
Claims Customer Service Representative
Southwest Service Administrators, Inc. provides health and welfare benefits administration, and they are seeking a Claims Customer Service Representative. This role involves providing information on benefits and claim status, delivering high-quality customer service, and documenting inquiries efficiently and professionally.
ConsultingEmployee BenefitsProfessional Services
Responsibilities
Provide high quality customer service to all Fund members by documenting telephone, written and walk-in inquiries regarding benefits, or claim status in an efficient prompt and professional manner
Respond to and resolve complex issues, including those escalated by members
Serve as primary, daily contact to clients on delivery of services
Resolve complex plan provision questions and issues addressed
Raise issues as appropriate to Team Supervisor or Department Manager
Learn and use professional excellence tools and concepts to ensure efficient and quality output/service delivery
Work cooperatively with other team members
Actively participate in team meetings and training activities
Perform additional responsibilities and projects as periodically assigned
Qualification
Required
(Minimum) High School Diploma/GED
Minimum 40 WPM and 3,000 KPH proficiency
Prior experience in a medical setting (doctor's billing office, hospital billing, etc.) is helpful
Ability to maintain current knowledge of plan benefits to provide correct information to plan participants and providers
Professional, client-focused approach to colleagues and assignments
Strong oral and written communication skills with exceptional attention to detail
Strong dedication to follow-through on all tasks and assignments
Ability to sit for long periods of time operating a computer keyboard
Preferred
Knowledge of medical terminology preferred
Ability to speak, read and write in both English and Spanish preferred
Benefits
MEDICAL, DENTAL, VISION
SHORT-TERM DISABILITY
Full coverage benefits for a low weekly premium of $5 (Employee Only), $15 (for Child(ren) and $20 per week for full family or Employee/Spouse.
COMPANY PAID supplemental dental coverage of $1,000 per year for Employee.
COMPANY PAID LONG TERM Disability & Life/AD&D coverage.
401K Plan including company match up to 5%.
COMPANY PAID additional pension plan entirely funded by the company.
EXCEPTIONAL TIME OFF package including Paid Personal Leave (PPL) and Vacation with annual BUY BACK options!!!!
Annual, automatic pay increases.
Company
Southwest Service Administrators, Inc.
Southwest Service Administrators was created in 1995 as an independent Third Party Administrator (“TPA”) to provide unique and specialized services to labor-management, Taft-Hartley Trust Funds.
Funding
Current Stage
Growth StageCompany data provided by crunchbase