Claims Adjudication Specialist

MassMarkets • Killeen, TX

104d

About The Position

MCI is a leading Business Process Outsourcing (BPO) company that specializes in delivering tailored solutions to meet the diverse needs of our clients. With a commitment to excellence and a focus on innovation, we have established ourselves as a trusted partner in the industry. We are seeking a detail-oriented and analytical On-Site Claims Adjudication Specialist to join our team! If you have strong critical thinking skills, a passion for exceptional customer service, and the ability to thrive in a fast-paced environment, we want to hear from you. This role involves handling inbound communications, evaluating warranty claims, and working closely with customers and service partners to ensure timely and accurate resolutions.

Requirements

• High school diploma or equivalent (additional certifications are a plus).
• 1-3 years of experience in one or more of the following: call center, claims adjudication, insurance adjusting, or technical customer service (preferably in a high-volume or protection plan environment).
• Proficiency with computers is essential.
• Proficiency in claims management systems, contact center platforms, and MS Office products.
• Strong verbal and written communication skills, with attention to grammar and clarity.
• Strong critical thinking and problem-solving skills with the ability to make well-informed decisions under pressure.
• Must be able to complete a writing skills test, including sending an email recap of a conversation.

Responsibilities

• Engage with existing customers through inbound calls and email.
• Evaluate and process warranty claims with precision, ensuring adherence to policy terms and conditions.
• Apply critical thinking and analytical skills to make informed, evidence-based decisions quickly.
• Handle escalated claims and conduct thorough investigations to resolve complex issues efficiently.
• Collaborate with customers, service partners, and internal teams to deliver an outstanding customer experience.
• Adapt to evolving processes and technology in a fast-growing business environment.
• Maintain accurate records of claim resolutions and customer interactions using email management systems and customer service software.

Benefits

• Paid Time Off: Earn PTO and paid holidays to take the time you need.
• Incentives & Rewards: Participate in daily, weekly, and monthly contests that include cash bonuses and prizes ranging from electronics to dream vacations and sometimes even cars!
• Health Benefits: Full-time employees are eligible for comprehensive medical, dental, and vision coverage after 60 days of employment, and all employees have access to MEC medical plans after just 30 days. Benefit options vary by location.
• Retirement Savings: Secure your future with retirement savings programs, where available.
• Disability Insurance: Short-term disability coverage is available to help protect you during unexpected challenges.
• Life Insurance: Access life insurance options to safeguard your loved ones.
• Supplemental Insurance: Accident and critical illness insurance.
• Career Growth: With a focus on internal promotions, employees enjoy significant advancement opportunities.
• Paid Training: Learn new skills while earning a paycheck.
• Fun, Engaging Work Environment: Enjoy a team-oriented culture that fosters collaboration and engagement.
• Casual Dress Code: Be comfortable while you work.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees