Claims - Operations Specialist

TEKsystems•Minneapolis, MN

2d•$18 - $20•Hybrid

About The Position

Key Responsibilities • Perform follow up functions related to unfair claims practices including calling out to establish contact with beneficiaries who have not claimed or sent claims paperwork. • Follow up on missing requirements regarding claims paperwork, assist with pre-escheat work related to unclaimed property, work with fixed and variable claims processing teams for more complex cases and resolutions, and go to legal and management with cases that require escalated review or analysis. • Respond to, validate, and/or approve varied and complex customer service requests and inquires for all customer segments, including top customers, by applying knowledge and following established practices and standards. • Review, research, problem solve, and recommend resolutions for non-routine customer inquiries. Escalates to next level as needed. • Mentor other team members and act as a resource for assigned area. • Coordinate and assist with team and department projects. Participate in special assignments as required to meet business needs. • Influence business results by providing proactive customer service, education and communication. 70% of the time will be investigative work, 30% of the time will be call and email outreach to clients. The investigative work is the due diligence needed to make sure all information gathered is correct, prior to contacting the beneficiaries.

Requirements

data
administrative support
Customer service
Data entry
Customer support
1-2 years of experience required: Operations, Insurance or Financial Industry, in various operations focused areas

Responsibilities

Perform follow up functions related to unfair claims practices including calling out to establish contact with beneficiaries who have not claimed or sent claims paperwork.
Follow up on missing requirements regarding claims paperwork, assist with pre-escheat work related to unclaimed property, work with fixed and variable claims processing teams for more complex cases and resolutions, and go to legal and management with cases that require escalated review or analysis.
Respond to, validate, and/or approve varied and complex customer service requests and inquires for all customer segments, including top customers, by applying knowledge and following established practices and standards.
Review, research, problem solve, and recommend resolutions for non-routine customer inquiries. Escalates to next level as needed.
Mentor other team members and act as a resource for assigned area.
Coordinate and assist with team and department projects. Participate in special assignments as required to meet business needs.
Influence business results by providing proactive customer service, education and communication.