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Claims Customer Service Representative Jobs

Claims Customer Service Coordinator
By BlueCross BlueShield of South Carolina At Columbia, SC, United States
Identifies issues with procedures and processes and provides feedback to management on changes and development.
Continuing education funds for additional certifications and certification renewal
You will have to work on site as needed if remote access is granted.
Trains new employees and introduces new material to all employees. Develops, updates, and maintains procedural manuals.
High School Diploma or equivalent
401(k) retirement savings plan with company match
Claims Service Representative Iii - Home Owners Estimator California
By Automobile Club of Southern California At , Chula Vista, 91910 $35.55 - $47.40 an hour
Health coverage for medical, dental, vision
401(K) saving plan with company match AND Pension
PTO for community volunteer programs
This role might be for you if you have:
The starting pay range for this position is:
Claims Customer Service Advocate I
By BlueCross BlueShield of South Carolina At Columbia, SC, United States
Good verbal and written communication skills
Good spelling, punctuation, and grammar skills
Identify incorrectly processed claims and processes adjustments and reprocessing actions according to department guidelines
Examine and process claims and/or non-medical appeals according to business/contract regulations, internal standards and examining guidelines
Enter claims into the claim system after verification of correct coding of procedures and diagnosis codes
Ensure claims are processing according to established quality and production standards
Customer Service - Claims (Property)
By USAA At , Phoenix, 85085
US military experience through military service or a military spouse/domestic partner
For more details on our outstanding benefits, visit our benefits page on USAAjobs.com.
Provide claims service via internal channels (phone/fax/email/mail)to members and third-party customers.
Adjust low to moderately intricate Property claims.
Seek mentorship from team members to resolve issues and identify appropriate issues for additional review.
Partner with and advises vendors and business partners to facilitate claims resolution.
Claims Service Representative I - Early Response
By Automobile Club of Southern California At , Bakersfield, 93309 $25.48 - $28.02 an hour
Bachelor’s (4 year) degree preferred or equivalent combination of education and experience
No prior claims experience required
Strong oral and written communication skills
A career with growth potential
The satisfaction of knowing you provide a meaningful service to our insured who rely on you for assistance
Provide legendary customer service to our insured members
Claims Customer Service Advocate Ii
By BlueCross BlueShield of South Carolina At Columbia, SC, United States
Continuing education funds for additional certifications and certification renewal
401(k) retirement savings plan with company match
Subsidized health plans and free vision coverage
Paid annual leave – the longer you work here, the more you earn
On-site cafeterias and fitness centers in major locations
Wellness programs and healthy lifestyle premium discount
Claims Service Representative Iii - Home Owners Estimator California
By Automobile Club of Southern California At , Costa Mesa, 92626, Ca $35.55 - $47.40 an hour
Health coverage for medical, dental, vision
401(K) saving plan with company match AND Pension
PTO for community volunteer programs
This role might be for you if you have:
The starting pay range for this position is:
Customer Service Claims Representative
By Amica Mutual Insurance Company At , Lincoln, 02865, Ri
Strong organizational, time management and priority-setting skills
Committed to improving one’s professional knowledge through continuing education
Strong written and verbal communication skills
Solid decision making skills, ability to handle conflicts and deal with difficult situations
Knowledge of Microsoft Office and computer systems
Secure and maintain licenses in designated states and complete continuing education as needed for compliance.
Claims Customer Service Supervisor
By BlueCross BlueShield of South Carolina At Columbia, SC, United States
Knowledge of the benefit plans for each group.
Bachelor's degree OR 4 years of healthcare experience in customer service, provider network service, membership, billing, and/or claims/appeals processing operations.
2 years of claims/appeals, customer service, or call center experience.
Strong analytical, organizational, and judgement skills.
Strong oral and written communication skills.
Strong spelling, punctuation, and grammar skills.
Claims Customer Service - Remote | Wfh
By Get It Recruit - Real Estate At Des Moines, IA, United States

Are you eager to embark on an exciting contract role in administration? This outstanding opportunity might just be the perfect fit for you! We've teamed up with a highly reputable client in search of ...

Remote Claims Customer Service Representative ($17.00 - $20.00 / Hour)
By Talentify.io At United States
Minimum 1+ year of Customer Service experience, with ACD Call Center experience preferred.
Knowledge of CPT/ICD9 coding preferred.
Knowledge of Medicare/Medicaid guidelines is a plus.
Address and resolve customer service calls empathetically and professionally.
Accurately document, research, and resolve inquiries, ensuring clear and complete documentation.
Respond and resolve inquiries on the first call, utilizing all available resources.
Customer Service Representative - Claims Client Services - National Remote
By UnitedHealth Group At Dallas, TX, United States
2+ years of combined education, work and/or volunteer experience.
Experience with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
Health Care/Insurance environment (familiarity with medical terminology, health plan documents, or benefit plan design)
All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Deliver information and answer questions in a positive manner to facilitate strong relationships with providers and their staff
High School Diploma / GED
Supervisor, Claims Customer Service
By BlueCross BlueShield of South Carolina At Columbia, SC, United States
Knowledge of the benefit plans for each group
Bachelor's degree or 4 years of healthcare experience in customer service, provider network service, membership, billing, and/or claims/appeals processing operations
2 years of claims/appeals, customer service, or call center experience
Strong analytical, organizational, and judgment skills
Strong oral and written communication skills
Strong spelling, punctuation, and grammar skills
Provider Claims Customer Service
By CVS Health At , , Va $17.00 - $27.90 an hour

Answers questions and resolves issues based on phone calls/letters from members, providers, and plan sponsors. Triages resulting rework to appropriate staff. Provide excellent customer services for ...

Customer Service - Claims (Property)
By USAA At , San Antonio, 78288, Tx
US military experience through military service or a military spouse/domestic partner
For more details on our outstanding benefits, visit our benefits page on USAAjobs.com.
Provide claims service via internal channels (phone/fax/email/mail)to members and third-party customers.
Adjust low to moderately intricate Property claims.
Seek mentorship from team members to resolve issues and identify appropriate issues for additional review.
Partner with and advises vendors and business partners to facilitate claims resolution.
Customer Service - Claims (Auto)
By USAA At , Tampa, 33647, Fl
US military experience through military service or a military spouse/domestic partner
For more details on our outstanding benefits, visit our benefits page on USAAjobs.com.
Provide claims service via internal channels (phone/fax/email/mail)to members and third-party customers.
Adjust low to moderately intricate Auto or Property claims.
Seek mentorship from team members to resolve issues and identify appropriate issues for additional review.
Partner with and advises vendors and business partners to facilitate claims resolution.
Coordinator, Claims Customer Service
By BlueCross BlueShield of South Carolina At Columbia, SC, United States
Respond accurately and timely to inquiries from team members, including management, concerning customer inquiries, claims adjudication, appeals and other technical issues
Identify issues with procedures and processes and provides feedback to management on changes and development
Excellent verbal and written communication skills
Knowledge of claims processing procedures
Investigate and initiate resolutions to complex problems
Authorize payment recovery, claim payments, or makes claim rejections based on documented information and provisions of state or federal law
Fcmb Claims Customer Service Advocate Ii
By BlueCross BlueShield of South Carolina At Florence, SC, United States
A proven curriculum providing the knowledge you need to excel.
Our Comprehensive Benefits Package Includes
Best-in-class call center training program.
Peer coach to observe you.
Peer coach for you to observe.
A training lab where you take live calls with a training supervisor close by to answer questions.
Provider Claims Customer Service
By CVS Health At , , Ks $17.00 - $27.90 an hour

Answers questions and resolves issues based on phone calls/letters from members, providers, and plan sponsors. Triages resulting rework to appropriate staff. Provide excellent customer services for ...

Claims Service Representative Jobs
By VDart At United States
Perform clerical duties, including: data entry, filing paper documents, email, calendar management, and word processing
·High School Diploma or equivalent with previous experience in either customer service and/or a professional work environment
·Good organization skills with timely follow-up skills
·Good oral and written communication skills
·Knowledge of Excel and Word
A high-volume call center representative that will be efficiently answering general claim inquiry calls

Are you looking for an exciting opportunity to provide exceptional customer service? We are looking for a Claims Customer Service Representative to join our team and provide outstanding service to our customers!

A Claims Customer Service Representative is responsible for providing customer service to customers who have filed a claim with an insurance company. They are responsible for answering customer inquiries, providing information about the claim process, and helping customers with the filing of their claims.

What is Claims Customer Service Representative Job Skills Required?

• Excellent customer service skills
• Knowledge of insurance policies and procedures
• Ability to handle difficult customer situations
• Strong communication and interpersonal skills
• Ability to work independently and as part of a team
• Proficiency in computer applications

What is Claims Customer Service Representative Job Qualifications?

• High school diploma or equivalent
• Previous customer service experience
• Knowledge of insurance policies and procedures
• Ability to work in a fast-paced environment

What is Claims Customer Service Representative Job Knowledge?

• Knowledge of insurance policies and procedures
• Understanding of customer service principles and practices
• Knowledge of customer service software, databases, and tools

What is Claims Customer Service Representative Job Experience?

• Previous customer service experience
• Previous experience in the insurance industry

What is Claims Customer Service Representative Job Responsibilities?

• Respond to customer inquiries and provide information about the claim process
• Assist customers with filing claims and provide updates on the status of their claims
• Resolve customer complaints in a timely and professional manner
• Maintain accurate records of customer interactions
• Follow up with customers to ensure their satisfaction with the claims process
• Monitor customer feedback and provide feedback to management