About The Position

The Claims Loss Reporting Specialist is a para-professional position within the Claims Call Center Operation and is generally the first point of contact for claimants, primarily through inbound calls. The specialist receives and documents first notice of loss, handles overflow calls, and answers low-complexity claims questions while delivering exceptional customer service and a satisfying member experience. When a request is beyond the specialist’s training, the specialist identifies the appropriate contact and redirects the caller. The role involves communicating with insureds and claimants, building trust and rapport at the beginning of the claims process, setting expectations, showing empathy, and providing reassurance. The specialist also explains and evaluates benefits, coverage, and the claims process for glass claims, provides general membership information or referrals, and uses Claims systems to support accurate service.

Requirements

  • Associate degree.
  • 1–3 years of call center customer-service experience.
  • Demonstrated proficiency in customer service.
  • Successful completion of foundation training.
  • English-language fluency.
  • Professional written and oral communication skills.
  • Proficiency with Microsoft Office software, including Outlook and Word.
  • Strong typing skills, including high words-per-minute speed and accuracy.

Responsibilities

  • Answer incoming calls for the Claims business unit and make routine telephone calls.
  • Receive and accurately document first notice of loss calls.
  • Communicate with insureds and claimants and build trust and rapport at the beginning of the claims process.
  • Provide high-quality service and claims accuracy by setting expectations, demonstrating empathy, and reassuring members.
  • Explain and evaluate benefits, coverages, and the claims process involving glass claims.
  • Handle overflow calls and answer low-complexity claims-related questions.
  • Communicate guidelines, service options, and solutions to meet member expectations and support a satisfying member experience.
  • Demonstrate appropriate knowledge and use of Claims systems.
  • Answer general membership-information requests or refer members to appropriate parties.
  • Identify the appropriate point of contact and redirect callers when requests are beyond the position’s training.

Benefits

  • Health coverage for medical, dental, and vision.
  • 401(k) savings plan with company match and pension.
  • Tuition assistance.
  • Floating holidays and paid time off for community volunteer programs.
  • Paid parental leave.
  • Wellness programs.
  • Employee discounts on membership, insurance, travel, entertainment, services, and more.
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