Claims Specialist Jobs

This role handles customer enrollments and inquiries, claims processing, and contractor dispatching.
Primary Responsibilities:
Customer Call Duties

• Navigate systems, procedures and other resources to provide accurate and timely resolutions to customer inquiries, claims or program related complaints.
• Achieves all customer experience and sales standards set for the department by following the established departmental goals, policies and procedures.
• Provide customers with product information on Home Warranty programs.
• Handle claim calls including interacting with customers, verifying customers’ eligibility to file claims, verifying all facts related to claims and filing claims into the company’s claim system.
• Enroll customers in IGS programs via phone, mail, or email requests.
• Interact with current and potential customers via telephone.
• Inform customers of repair or replacement procedures for a covered claim.
• Locate and dispatch contractors to repair or replace covered lines or systems and inform customers accordingly.
• Additional duties and responsibilities as assigned.
• Maintain satisfactory knowledge of service agreements.

Contractor Call Duties

• Review claims over the authorization limit level, review claim amount to verify additional costs, and provide appropriate approval for plan limit.
• Schedule repairs, complete and distribute claim forms, and provide contractors with appropriate authorization information to execute repairs.
• Maintain contact and follow-up with the contractor and customer throughout the claim process to ensure efficient repair or replacement.

Afterhours Call Duties

• Handle claims and escalated customer calls on assigned dates after business hours

Required Skills:

• Able to empathize, listen and assist customers during the claim process.
• May be required to participate in certain insurance classes or obtain a Property & Casualty license.
• Experience with customer service in a phone center environment.
• Self-Motivating
• Organized and detail oriented with excellent problem solving abilities.
• Experience with third party service relationships.
• Strong reasoning, decision making, and communication skills.
• Operate effectively in a team environment.
• Adaptability/Flexibility: Adapts to change, is open to new ideas, takes on new responsibilities and handles pressure.

Minimum Education & Experience:

• High school diploma or equivalent.
• Prior experience in claims processing is a plus.
• Exposure to call center/customer service environment preferred.

Our Offer to You:

• Tuition reimbursement, employee wellness programs, and other perks and discounts
• And more, such as paid time off, flexible spending, employer paid life and disability, employee assistance program, and domestic partner benefits
• 401(k) retirement plan with company matching
• Comprehensive healthcare benefits including medical, dental, vision, and employer health savings account contributions
• Paid leave policies

Equal Opportunity Employment:
It is the policy of IGS Energy to ensure equal employment opportunity in accordance with all applicable federal and state regulations and guidelines. Employment discrimination against employees and applicants due to race, color, religion, sex (including sexual harassment), national origin, disability, age, sexual orientation, gender identity, military status, and veteran status or other legally protected class under applicable law is prohibited.