Claims Customer Service Representative

Security Mutual Life Insurance Company of New York

. Serve as the initial point of contact for claimants, beneficiaries, policyowners, agents, providers and other authorized parties regarding life and supplemental health claims .

Posted 10/31/2026full-timeUnited StatesJuniorMid-Level💰 $19 - $21 per hourWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in managing life and supplemental health claims processes while providing exceptional customer service. Proficient in handling inquiries, documenting interactions, and maintaining confidentiality of sensitive information.

Highest-signal resume keywords

Customer Service ExperienceClaims ProcessingHealth Insurance KnowledgeBilingual in SpanishData Entry Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claims ProcessingData EntryMicrosoft WordMicrosoft ExcelClaims Documentation

Soft Skills

EmpathyPatienceAttention to DetailOrganizational SkillsCommunication Skills

Certifications & Qualifications

Associate’s Degree in Business

Industry Keywords

Insurance IndustryCall Center EnvironmentClaims ProceduresCustomer InteractionConfidential Information

About the role

Key responsibilities & impact

Serve as the initial point of contact for claimants, beneficiaries, policyowners, agents, providers and other authorized parties regarding life and supplemental health claims
Handle incoming and returned calls
Process first notice of loss by gathering and verifying information and initiating claims in the appropriate system
Explain claims processes, required documentation and next steps
Provide accurate claim status, outstanding requirements and correspondence information
Demonstrate empathy, patience and professionalism when assisting callers
Document calls and interactions, actions taken and outcomes in the appropriate system
Prepare and send follow-up letters, claim forms and other required correspondence
Research information across multiple systems and resources
Route inquiries and claim-related information to the appropriate Claims team member or department
Escalate questions, complaints, sensitive matters and potential issues
Protect confidential, personal and health information
Maintain knowledge of claims procedures, products, forms, systems and service expectations
Maintain established Claims call queue service metrics
Perform other duties assigned by management

Requirements

What you’ll need

Minimum of 2 years of experience in Customer Service
Experience in an insurance industry or call center environment
Health insurance industry customer service experience preferred
Fluency in Spanish a plus
Basic knowledge of Microsoft Word and Excel
Excellent written and verbal communication skills
Excellent data entry skills
Ability to perform work accurately and thoroughly
Ability to pay close attention to detail
Ability to prioritize and organize a heavy workload
Ability to work a flexible schedule with occasional overtime
Associate’s degree in business or related field
Visa sponsorship is not available for this position
Relocation assistance is not available for this position

Benefits

Comp & perks

Primarily remote work with periodic time required in the assigned Company office
Competitive salary and benefits
Training, reference materials and coaching
Equal Opportunity Employer