Claims Service Specialist

Why Consider This Job Opportunity

Join Talentify.io as a Claims Service Specialist and benefit from comprehensive health, dental, and vision insurance, competitive compensation, career advancement opportunities, continued education reimbursement, and company-paid courses. Enjoy remote work flexibility and a supportive environment focused on employee growth, plus paid holidays and time off for work-life balance.

What To Expect (Job Responsibilities)

• Serve as a customer advocate handling inquiries from policyholders and agents.
• Process health and accident claims daily, reviewing documentation for benefit approval or denial.
• Communicate claims statuses and provide professional resolutions.
• Maintain accurate documentation ensuring compliance with quality assurance standards.
• Collaborate with multiple departments to enhance processes and customer satisfaction.

What Is Required (Qualifications)

• 2-5 years of claims processing or insurance experience.
• Knowledge of medical terminology and proficiency in Microsoft Office Suite.
• Strong commitment to excellent customer service and quality.
• Ability to maintain confidentiality and handle high-volume claims efficiently.
• Excellent verbal, written, and listening communication skills.

How To Stand Out (Preferred Qualifications)

• Experience in a claims service environment.
• Typing speed of 25-30 words per minute.
• Proven ability to manage escalated customer issues professionally.
• Strong organizational and analytical skills.
• Capability to work independently and within a team.

Key skills/competency

• Claims Processing
• Insurance
• Customer Service
• Documentation
• Medical Terminology
• Communication
• Compliance
• Organization
• Analysis
• Remote Work