Claims Service Representative

Pacific Neuroscience Institute (PNI)

. Support the Claims Division in achieving and promoting the lowest fair claims settlement .

Posted 9/23/2026full-timeUnited StatesMid-LevelSenior💰 $39,000 - $54,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates strong customer service skills and effective communication abilities while managing claims processing tasks. Proficient in data entry and clerical duties, with a focus on teamwork and adaptability in a fast-paced environment.

Highest-signal resume keywords

Customer Service ExperienceData Entry SkillsMicrosoft Office Suite ProficiencyClerical Duties ExecutionEffective Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data EntryClerical DutiesBusiness MathematicsClaims ProcessingTyping Skills

Soft Skills

Interpersonal SkillsAdaptabilityTeamworkProfessional CommunicationProblem-Solving

Tools & Technologies

Claims Processing SystemsAutomated SystemsGeneral Office Equipment

Certifications & Qualifications

High School Diploma or EquivalentValid Driver's License

Industry Keywords

Claims DivisionCustomer InquiriesClaims Handling ProcessClaims SwitchboardInternal and External Communication

About the role

Key responsibilities & impact

Support the Claims Division in achieving and promoting the lowest fair claims settlement
Perform routine administrative and customer service aspects of the claims handling process according to established Claims Division guidelines
Train team members on current processes as directed by leadership
Enter data into claims processing systems while adhering to quality and productivity guidelines
Input proper coverages and classifications when setting up new claims
Answer approximately 100 Claims switchboard calls per day, provide basic information, and transfer calls to appropriate adjusters
Perform filing, mail distribution, check printing, and other clerical tasks supporting the Claims Division
Provide prompt and professional customer service to agents, policyholders, and internal customers regarding new claim notifications, inquiries, and requests
Research policies and other systems to resolve claims processing issues
Communicate with internal and external customers by phone, fax, and email
Prepare written communications according to department standards
Identify and utilize appropriate resources to solve customer problems
Escalate customer risks and accelerate follow-up and action to resolve issues
Work with supervisors to identify development and shadowing opportunities
Provide coverage, guidance, or assistance to colleagues when needed
Maintain direct contact with Claims Service Office Managers, Team Leaders, adjusters, Home Office Claims personnel, and Underwriting personnel

Requirements

What you’ll need

High School diploma, or equivalent
Prior customer service experience preferred
Good interpersonal skills, with the ability to interact in a professional and tactful manner
Good communication skills – both verbal and written
Good personal computer skills, with an emphasis on Microsoft Office Suite
Strong keyboard, data entry and typing skills required
Ability to perform various clerical duties
Ability to perform standard business mathematics
Must be able to multi-task and perform job responsibilities with interruptions from phone calls
Must be able to work as a team member in a fast-paced environment
Must be adaptable and able to quickly adapt to schedule changes
Must be able to see and effectively use a computer monitor
Must be able to operate a computer, keyboard, applicable printers, and other general office equipment
Must be able to access and enter information accurately using automated systems
Must be able to hear and communicate via telephone and/or monitoring devices with internal and external clients
Must be able to present information to individuals and groups
Must be able to interpret and apply concepts that may or may not be based upon established guidelines
Must be able to maintain acceptable attendance and adhere to scheduled work hours
Must have a valid driver’s license and be able to operate a motor vehicle

Benefits

Comp & perks

Annual incentive program, depending on eligibility under the plan
Generous 401(k) match
Graded profit sharing
Incentive compensation
Remote and hybrid work options
Flexible scheduling
“Dress-for-your-day” culture
Employee recognition programs
Community engagement and charitable efforts
Employee volunteering opportunities
Company matches for annual United Way campaign contributions
Continuing education support
100% tuition reimbursement for academic studies
Professional development opportunities
Tailored designation programs, including CPCU, AINS, CPA, CISSP, and more