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 customer service within the insurance industry, with a strong focus on claims processing, communication, and attention to detail. Proficient in managing inquiries and maintaining confidentiality while adhering to service metrics.

Highest-signal resume keywords

Customer Service ExperienceClaims ProcessingExcellent Communication SkillsData Entry SkillsHealth Insurance Industry Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ProcessingData EntryMicrosoft WordMicrosoft ExcelDocumentation Preparation

Soft Skills

EmpathyPatienceProfessionalismAttention to DetailOrganizational Skills

Certifications & Qualifications

Associate's Degree

Industry Keywords

Insurance IndustryHealth InsuranceCall Center EnvironmentClaims ProceduresService Metrics

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 for all claim types
Explain the claims process, required documentation and next steps
Provide accurate claim status, outstanding requirements and correspondence information
Demonstrate empathy, patience and professionalism when assisting callers
Document each call and interaction 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 or potential issues requiring additional review
Protect confidential, personal and health information
Maintain current knowledge of claims procedures, products, forms, systems and service expectations
Maintain established service metrics for the Claims call queue
Perform other duties as needed or 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

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