Claims Service Representative

PNI Careers•Harrisburg, PA

About The Position

This position supports the Claims Division in achieving and promoting the lowest fair claims settlement. This position is responsible for the routine administrative and customer service aspects of the claims handling process according to the established guidelines of the Claims Division.

Requirements

High School diploma or equivalent
Good interpersonal skills with the ability to interact in a professional and tactful manner
Good communication skills – both verbal and written
Good Personal Computer skills with an emphasis on Microsoft Office Suite
Strong keyboard, data entry, and typing skills required, along with the ability to perform various clerical duties
Ability to perform standard business mathematics
Must be able to multi-task and perform job responsibilities with the interruption of phone calls
Must be able to work as a team member in a fast-paced environment
Must be adaptable and able to quickly adapt to schedule changes
Must be able to see and effectively use a computer monitor.
Must be able to operate a computer, keyboard, and applicable printers and other general office equipment.
Must be able to access and enter information accurately using automated systems.
Must be able to hear and communicate via the telephone and/or monitoring devices to both internal and external clients.
Must be able to present information to individuals and groups.
Must be able to interpret and apply concepts that may or may not be based upon established guidelines.
Must be able to maintain acceptable attendance and adhere to scheduled work hours.

Nice To Haves

Prior customer service experience preferred

Responsibilities

Adheres to the work group’s expectations and guidelines; fulfills team or work group responsibilities; demonstrates personal commitment to group goals.
As directed by leadership, this position will be responsible for training team members on current processes.
Enters data into the claims processing systems as instructed by the Team Leaders, Claims Managers, or adjusters while adhering to quality and productivity guidelines established by the claims division.
Inputs the proper coverage(s) and classification(s) when setting up new claims.
Performs duties outside of the claims systems such as filing, distribution of mail, check printing, and other various tasks in support of the claims division.
During periods of high claim volume, provides prompt and professional customer service to agents, policyholders, and internal customers regarding new claim notifications, inquiries, and requests received via telephone, fax, email, or internet.
Researches policy and other systems to resolve claims processing issues.
Communicates with internal and external customers by phone, fax, and e-mail in a professional and courteous manner.
Puts new knowledge, understanding, or skill to practical use on the job; furthers learning through practice and ongoing feedback.
Readily absorbs and comprehends new information and develops skills from formal and informal learning experiences.
Performs various projects requested or assigned by the employee’s reporting manager noted above.