Claims Customer Service Representative

SOUTHWEST SERVICE ADMINISTRATORS INC • Taylorsville, UT

26d • $17 - $22

About The Position

The Benefit & Claims Customer Service Representative provides information on health and welfare, benefits and claim status to hospitals, providers, and participants. Additionally this position will be responsible for providing high quality customer service while documenting telephone, written and walk-in inquiries regarding benefits, or claim status in an efficient, prompt and professional manner.

Requirements

• (Minimum) High School Diploma/GED
• Minimum 40 WPM and 3,000 KPH proficiency
• Ability to maintain current knowledge of plan benefits to provide correct information to plan participants and providers.
• Professional, client-focused approach to colleagues and assignments.
• Strong oral and written communication skills with exceptional attention to detail.
• Ability to seek out experiences that may change perspective or provide an opportunity to learn new things.
• Strong dedication to follow-through on all tasks and assignments.
• Ability to sit for long periods of time operating a computer keyboard.

Nice To Haves

• Prior experience in a medical setting (doctor’s billing office, hospital billing, etc.) is helpful.
• Knowledge of medical terminology preferred.
• Ability to speak, read and write in both English and Spanish preferred.

Responsibilities

• Provide high quality customer service to all Fund members by documenting telephone, written and walk-in inquiries regarding benefits, or claim status in an efficient prompt and professional manner.
• Respond to and resolve complex issues, including those escalated by members.
• Serve as primary, daily contact to clients on delivery of services.
• Resolve complex plan provision questions and issues addressed.
• Raise issues as appropriate to Team Supervisor or Department Manager.
• Learn and use professional excellence tools and concepts to ensure efficient and quality output/service delivery.
• Work cooperatively with other team members.
• Actively participate in team meetings and training activities.
• Perform additional responsibilities and projects as periodically assigned.

Benefits

• MEDICAL, DENTAL, VISION
• SHORT-TERM DISABILITY
• Full coverage benefits for a low weekly premium of $5 (Employee Only), $15 (for Child(ren) and $20 per week for full family or Employee/Spouse.
• COMPANY PAID supplemental dental coverage of $1,000 per year for Employee.
• COMPANY PAID LONG TERM Disability & Life/AD&D coverage.
• 401K Plan including company match up to 5%.
• COMPANY PAID additional pension plan entirely funded by the company.
• EXCEPTIONAL TIME OFF package including Paid Personal Leave (PPL) and Vacation with annual BUY BACK options!!!!
• Annual, automatic pay increases.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 251-500 employees