Bilingual Claims Care Representative

HomeFirst Agency, Inc.•Maryville, TN

4d•Hybrid

About The Position

The Claims Care Representative I provides excellent customer service and support to policyholders to assist in the initial claim setup. This position reports to the Claims Care Team Lead and makes and receives calls from policyholders, providing guidance through the steps of reporting a new claim. The Claims Care Representative I ensures all necessary information is accurately recorded, details are documented, and initial expectations in the claims process are provided, including explaining required documents.

Requirements

High School diploma or equivalent
0-2 years of related experience preferred, but not required.
Must have strong computer skills with ability to navigate Microsoft Office Suite.
Ability to communicate effectively and efficiently via phone, email, and person to person.
Capability of gathering facts accurately, analyzing causes, evaluating alternate solutions, and arriving at sound conclusions on action to be taken.
Ability to manage multiple and/or conflicting responsibilities.
Great attention to detail, organizational skills, and time management.
Good sense of urgency and follow up.
Ability to handle stressful situations.
Ability to work in a team environment.
Must have strong computer skills with ability to navigate Microsoft Office Suite
Claims experience helpful, working knowledge of AS/400 and basic understanding of insurance a plus
Ability to communicate effectively and efficiently via phone, email, and person to person
Capable of gathering facts accurately, analyze causes, evaluate alternate solutions, and arriving at sound conclusions on action to be taken
Ability to manage multiple and/or conflicting responsibilities
Great attention to detail, organizational skills, and time management
Good sense of urgency and follow up
Ability to handle stressful situations
Ability to work in a team environment
Capable of dealing with changes that can and will occur periodically
Ability to make complex decisions

Nice To Haves

Bilingual in English and Spanish a plus, but not required.

Responsibilities

Assists and supports adjusters and management with administrative tasks included but not limited to: Mailing checks and letters, Compiling paperwork, Providing necessary forms required on a claim.
Assists with mailing of new claim paperwork.
Documents receipt of mail, emails, and faxes.
Acquires and uploads declaration page to claim file.
Completes claims reported to third party vendor assigning claims numbers to the files.
Uploads documents received on policyholder’s claims to claim file; notifies assigned adjusters of information received.
Serves as the first point of contact for policyholders reporting a new claim.
Sets expectations and next steps to policyholder; explains documentation and other information needed for claim process.
Creates new claim reports by collecting detailed information about a loss and verifying policyholder’s contact information.
Demonstrates empathy and sensitivity when dealing with policyholders who may be experiencing stress or loss, helping to build trust and maintain a positive customer relationship.
Accurately enters loss information into the claims system and generates a claim number.
Other duties as assigned

Benefits

Medical and Dental Plan with Prescription Coverage and Vision.
Competitive benefits including 401(K) includes 100% company match of the first 4%.
Paid time off days (PTO), maternity/paternity leave, and holidays.
Community involvement including Volunteer Paid Time Off (VTO).
Tuition Assistance for your first degree.
Enjoy coming “home” to our brand new, state-of-the-art Home Office equipped with onsite fitness facility with full gym, workout classes, volleyball and basketball courts, ping-pong, disc golf course, and onsite restaurant.
Wellness programs that focus on emotional, social, spiritual, intellectual, environmental, physical, and financial well-being.
Collaborative and energetic work environment.
Professional development and promotional opportunities.
Qualifies for quarterly company profit sharing.
Full-time team members have the flexibility to create their own health, dental, and vision benefits package.
HomeFirst Agency provides competitive 401(k) programs, including investment options and company matching for full and part time team members after one year to help our team members achieve their financial goals.
Additional benefits include paid parental leave, tuition reimbursement, Employee Assistance Programs, and more.
As part of HomeFirst’s commitment to Opening Doors to a Better Life, HFA is now providing paid time for Team Members to volunteer to causes that are meaningful to them through the Clayton Impact program.
At HFA, we encourage holistic wellness with physical, nutritional, social, financial, spiritual, and occupational programs available online or in-person for team members.
Our newly renovated Home Office campus offers an onsite restaurant, onsite fitness facility with full gym, in-person and virtual workout classes, yoga/barre studio, volleyball, and basketball courts, walking paths, and a disc golf course.