About The Position

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance. Step into a vital role at the heart of the insurance claims process. As a Customer Experience Specialist, you’ll be the first point of contact for policyholders during some of their most important moments. Your mission is to provide clear, compassionate, and knowledgeable support—ensuring every caller feels heard, informed, and confident in the process.

Requirements

  • High school diploma or GED required.
  • At least one year of customer service experience (insurance or call center experience preferred).
  • Knowledge of medical terminology.
  • Understanding of claims management.
  • Strong communication skills with the ability to explain complex information clearly.
  • Proficiency with Microsoft Office and the ability to navigate multiple systems simultaneously.
  • Strong organizational skills.
  • Familiarity with insurance terminology and claims processes.
  • Ability to support multiple clients across communication channels and utilize multiple systems simultaneously.
  • A collaborative mindset with the ability to work independently when needed.
  • Ability to meet or exceed Performance Competencies.

Nice To Haves

  • College courses preferred.

Responsibilities

  • Acts as primary liaison with callers; follows client specifications in assisting with questions and solving problems related to the claims application and servicing processes.
  • Educates and informs the customer via multiple communication channels about documentation required to process a claim, required time frames, payment information, and claim status.
  • Educates claimants/callers on client requirements and benefit plans documenting all required details of the call in a concise professional manner.
  • Enters verbal and written application information that meets both the internal and external customer’s requirements accurately into the claims management system.
  • Assigns new claims to the appropriate claims handler.
  • Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist/management as needed.
  • Attendance during scheduled work hours is required.

Benefits

  • Work-life balance.
  • Opportunities for growth and advancement.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

High school or GED

Number of Employees

5,001-10,000 employees

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