Claims Services Representative

HCI GROUP INCTampa, FL
Hybrid

About The Position

The Claims Services Representative will deliver excellent customer service through fast and accurate processing of notices and communications, while coordinating with other departments to resolve claims. The Claims Services Representative acts as the first point of customer contact for general claim inquiries.

Requirements

  • Expert data entry skills and impeccable attention to detail
  • Excellent verbal and written communication skills
  • Proficient in Microsoft Outlook, Microsoft Word and Microsoft Excel with extensive working knowledge of Microsoft Excel formulas and spreadsheets
  • Ability to manage multiple priorities and meet deadlines within a fast paced and high-volume environment
  • Ability to work well in a team-oriented environment, as well as independently
  • Strong phone etiquette and customer service experience
  • Strong data analysis and proactive problem-solving skills
  • Excellent organizational and time management skills
  • High school diploma required; Associate degree preferred
  • One year or more related experience and/or training; or equivalent combination and experience in claims support, insurance operations, or a related field

Nice To Haves

  • Experience in mediation scheduling, coordination and managing mediation activities preferred
  • Insurance 6-20 License, preferred

Responsibilities

  • Build and maintain business relationships with both internal and external clients by providing prompt and accurate service so to promote customer satisfaction
  • Upload claim correspondence in a timely manner to avoid any delays in the claim process
  • Assign new claims to Claim Examiners based on outlined criteria
  • Assign appropriate vendors to perform mitigation/special services as needed
  • Manage Field Adjuster assignments for timely inspections
  • Assist with team inquiries while adapting to various communication styles
  • Review and analyze claims data to ensure completeness, accuracy, and compliance with company and regulatory standards
  • Identify discrepancies or trends in claims data and escalate issues as needed
  • Prepare for an increased workload to include overtime should the company be impacted by a catastrophic weather event
  • Other duties as assigned
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