Senior Claims Customer Service Rep in Scottsdale, AZ at Pyramid Consulting, Inc

Date Posted: 7/8/2020

Job Snapshot

Job Description

Immediate need for a talented Senior Claims Customer Service Rep with experience in the Insurance Industry.This is a 06+ Months Contract opportunity with long-term potential and is located in Scottsdale, AZ. Please review the job description below.
Job ID: 20-18944
Key Responsibilities:
  • Provides first line customer service contact for claims reporting activity.
  • Utilizes claims call center best practices in all activities.
  • Creates loss reports by securing information from policyholders, claimants, agents, and other parties.
  • Establishes the claim master record by direct entry of claim data via computerized claim system.
  • Takes manual loss reports as necessary.
  • Verifies coverage under various policies or policy provisions based on variances of state, jurisdiction and regulatory requirement
  •  After taking notice of loss, makes direct assignments to inside or field claims adjustment personnel. In the absence of the -, assigns claims of other claims service representatives within established guidelines and procedures.
  • Refers claimants to preferred repair shops or schedules drive-in appointments as appropriate.
  • Handles inquiries from policyholders, claimants, and others appropriately.
  • Establishes and maintains a follow-up system for completion of incomplete claim reports. Proactively contacts policyholders/claimants for additional information to expedite proper handling of claims
  • Maintains, records and report information.
  • Handles customer service complaint situations as appropriate, or provides information to escalate for resolution.
  • Creates and maintains information screens. Inputs data into other personal computer-based software as required.
  • Handles the duties of coverage verification with other appropriate functions for all state operations when circumstances do not allow a claim to be established on the system. This would include the verification of Assigned Risk as well as Voluntary policy information.
  • Provides technical advice to claims service representatives on personal and commercial lines policy coverage in the absence.Performs other duties as assigned.
Key Requirements and Technology Experience:
  • Education: High school studies. Post-high school studies or insurance industry coursework preferred.
  • Experience: Claims Service Representative I experience and successful completion of formal and on-the-job training of 3-12 months.
  • Knowledge: Extensive knowledge of the duties and responsibilities of the claims service representatives with proven performance as indicated in quality program results.
  • Superior knowledge of claims processing system(s) and the claims reporting process as well as thorough knowledge of insurance coverage, policies and claims handling procedures.
  • Skills/Competencies: Ability to make decisions such as the application of coverage, assignments, and work priorities.Outstanding oral and written communication skills needed to effectively interact with the policyholders, claimants, agents and co-workers.
  • Ability to efficiently operate personal computer and all related claims/business software. Some positions provide service primarily for customers speaking a language other than English.
  • These positions may require skills specific to the language and culture, including bilingual skills.
  • Credit Check: A valid credit check and/or background check may be required as part of the selection process in locations where a State Department of Insurance license is required for the position.
Our client is a leading Insurance Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.