Service Center Representative

Sedgwick•Seven Hills, OH

5d•$16 - $19

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 Service Center Representative PRIMARY PURPOSE : To provide excellent service to callers regarding claims for multiple lines of business; to expedite the claims application process and provide detailed claim notes on all calls; to resolve issues with one call/one person response; and to direct calls to appropriate escalation path as needed.

Requirements

High school diploma or GED required.
One (1) year customer service experience or equivalent combination of education and experience required.
Knowledge of medical terminology
Understanding of claims management
Excellent oral and written communication skills
PC literate, including Microsoft Office products
Strong organizational skills
Good interpersonal skills
Ability to multi task in fast paced environment
Ability to support multiple clients across communication channels and utilize multiple systems simultaneously
Ability to work in a team environment and/or independently
Ability to meet or exceed Performance Competencies
Computer keyboarding, travel as required
Hearing, vision and talking

Nice To Haves

College courses preferred.
Inbound call center experience 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.
Performs other duties as assigned.
Supports the organization's quality program(s).