Travel Claims Examiner and Customer Service Representative
One80 Intermediaries•Remote - Florida, FL
•$16 - $21
About The Position
One80 Intermediaries is seeking a Travel Claims Examiner and Customer Service Representative to join its growing team. The role reviews and analyzes claims to ensure accurate processing in accordance with policy provisions. It handles moderate to complex claim issues, obtains necessary documentation, and approves or denies claims based on established guidelines. The position also receives inbound calls in assigned queues and may provide overflow support for the customer service representative team.
Requirements
- High school diploma or equivalent.
- Ability to function independently within established guidelines.
- Excellent interpersonal, oral, and written communication skills.
- Intermediate skill level in Microsoft Office programs.
Responsibilities
- Analyze and research claim issues of moderate to complex difficulty.
- Understand complicated workflows, policy certificates, and policy provisions.
- Review and apply policy provisions when processing claims.
- Request and obtain documents needed for claim processing or consideration, and schedule documentation follow-ups.
- Release accurate benefit payments in accordance with CBP policy, industry standards, and applicable TPA or SLA agreements.
- Document required information and follow-up details in the claim system.
- Receive inbound calls in assigned queues and/or as overflow for the CSR team.
Benefits
- Medical/Rx, dental, vision, life, and disability insurance.
- Employee stock purchase plan (ESPP).
- 401(k).
- Student loan assistance.
- Tuition reimbursement.
- Free mental health and enhanced advocacy services.
- Paid time off and holidays.
- Preferred partner discounts.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
