Claims Customer Service Representative jobs in United States
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Integrity · 3 hours ago

Claims Customer Service Representative

Integrity is a leading independent distributor of life, health, and wealth insurance products. The Claims Customer Service Representative will examine and adjudicate inquiries related to claims, interpret contract benefits, and maintain communication with policyholders and service providers in a professional manner.

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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
Send out refund request letters and follow-up as necessary
Produce correspondence to customers
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

Call center experienceInsurance knowledgeMedicare Supplement experienceCommunication skillsTeam collaboration

Required

High School Diploma or GED equivalent
Minimum of one (1) year related experience in a fast-paced call center required
Must be local or residing in the nearby area

Preferred

Experience in medical/insurance preferred
Experience with Medicare Supplement preferred
May have agent license but no active appointments

Benefits

Competitive compensation package
Benefits that make work more fun and give you and your family peace of mind

Company

Integrity

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Integrity is a leader in providing holistic life, health and wealth planning and solutions designed to help Americans prepare for the good days ahead.

Funding

Current Stage
Late Stage
Total Funding
$2.15B
Key Investors
Silver Lake
2021-12-09Private Equity· $1.2B
2019-09-16Debt Financing· $945M
2019-08-28Private Equity

Leadership Team

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Linda Zukauckas
Chief Financial Officer
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Said Taiym
Chief Operating Officer
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Company data provided by crunchbase