Claims Customer Service Representative

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Deliver prompt, precise, and customer-centric information related to disability, life, and leave claims.

• Gather necessary details from callers and external resources to fulfill claim documentation requirements.

• Input detailed and accurate summaries into the claims system while engaging with customers.

• Process incoming documents with high coding precision and distribute them appropriately.

• Timely issue claim acknowledgment correspondence.

• Achieve or surpass call center performance metrics while adhering to operational standards.

• Exhibit empathy, professionalism, and authentic care during customer interactions.

• Anticipate customer needs and proactively take steps to assist them.

• Work with various product lines including STD, SDI, AM, LTD, Life, and AD&D.

• Provide support to callers in a dynamic call center environment.

• Document claim activities and deliver outstanding customer service.

⛳️ Requirements

• 2–3+ years of experience in customer service (call center or in-person).

• A bachelor's degree may be considered in place of experience.

• High school diploma or a college degree.

• High school diploma or GED.

• At least 1 year of experience in customer service, administrative support, call center, healthcare, insurance, or financial services.

• Experience in financial services, healthcare, or insurance is strongly preferred.

• Strong data entry skills (7,000+ KPH).

• Excellent verbal communication and proficient writing abilities.

• Capability to multi-task, prioritize effectively, and work under pressure.

• Comfortable working on a computer and phone throughout the day.

• Basic to moderate proficiency in Microsoft Office.

• Familiarity with Microsoft Outlook, Word, and basic Excel.

• Ability to navigate multiple computer systems simultaneously.

• Reliable internet connection and a dedicated home workspace.

• Experience in insurance, disability, leave management, or claims is preferred.

• Preferred experience in healthcare or benefits administration.

• Experience in a high-volume call center setting is preferred.

• Bilingual skills are a plus.

🏝️ Benefits

• Medical, dental, and vision coverage.

• Critical Illness, Accident, and Hospital insurance.

• 401(k) Retirement Plan – Options for pre-tax and Roth post-tax contributions.

• Life Insurance (Voluntary Life & AD&D for the employee and dependents).

• Short and long-term disability coverage.

• Health Spending Account (HSA).

• Transportation benefits.

• Employee Assistance Program.

• Paid Time Off/Leave (PTO, Vacation, or Sick Leave).

• Fully remote work environment.

• Consistent schedule promoting work-life balance.

• Comprehensive training provided.

• Opportunities for career growth.