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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in claims management and customer service, with a strong ability to educate clients on claim processes and documentation. Proficient in utilizing claims management systems and Microsoft Office products while maintaining high organizational standards.
Highest-signal resume keywords
Claims ManagementCustomer Service ExperienceMedical Terminology KnowledgeExcellent Communication SkillsOrganizational Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims Application ProcessingClaims DocumentationClaims Management System EntryMulti-TaskingPerformance Competencies
Soft Skills
Interpersonal SkillsTeam CollaborationProblem Resolution
Tools & Technologies
Microsoft Office
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Inbound Call Center ExperienceClient RequirementsBenefit PlansQuality Programs
About the role
Key responsibilities & impact- Provide excellent service to callers regarding claims for multiple lines of business
- Expedite the claims application process
- Provide detailed claim notes on all calls
- Resolve issues with one call/one person response
- Direct calls to appropriate escalation paths as needed
- Act as primary liaison with callers regarding claims application and servicing processes
- Educate and inform customers about required claim documentation, time frames, payment information, and claim status
- Educate claimants/callers on client requirements and benefit plans
- Enter verbal and written application information accurately into the claims management system
- Assign new claims to the appropriate claims handler
- Direct customer calls to appropriate contacts or escalate to Service Center Specialist/management
- Support the organization's quality programs
- Perform other duties as assigned
Requirements
What you’ll need- High school diploma or GED required
- One (1) year customer service experience or equivalent combination of education and experience required
- Inbound call center experience preferred
- Knowledge of medical terminology
- Understanding of claims management
- Excellent oral and written communication skills
- PC literate, including Microsoft Office products
- Strong organizational skills
- Good interpersonal skills
- Ability to multi task in fast paced environment
- Ability to support multiple clients across communication channels and utilize multiple systems simultaneously
- Ability to work in a team environment and/or independently
- Ability to meet or exceed Performance Competencies
- Attendance during scheduled work hours is required
Benefits
Comp & perks- Work-life balance
- Reasonable accommodations when applicable and appropriate
- Equal opportunity workplace
- Drug-free workplace
