This role involves documenting all member contacts via telephone, email, fax, and instant message, focusing on insurance business processing and member benefits. Calls are recorded for trend analysis and service improvement. Responsibilities include researching, reviewing, and following up on contacts to ensure service levels and adherence to policies. All calls are tracked to resolution, with statistics used for service improvement identification. The specialist will diagnose issues, authorize billing adjustments, and manage changes to due dates and pay plans/methods. Cross-training is expected to minimize transfers. Independent judgment is required for call transfers or escalations. Data gathering for member demographics is necessary for accurate contact information. Limited policy changes for existing members, such as adding/deleting vehicles or lienholders, will be processed. Maintaining the security of confidential data is critical. An active Agent’s license in P&C and fulfillment of continuing education requirements are mandatory. The role requires remote work capability during business disruptions as per the Business Continuity Plan.
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Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED