
Claims Resolution Specialist
Posted 4 days ago

Posted 4 days ago
This is a fully remote position, open to applicants in Illinois.
β’ Take charge of a designated caseload from the claim investigation phase to resolution.
β’ Make informed decisions and authorize work orders within a specified limit.
β’ Identify issues, analyze claim and work order details, and gather, review, research, and document relevant information.
β’ Receive reports from technicians and homeowners.
β’ Respond promptly to incoming calls, emails, and voicemails from customers, contractors, and escalated cases, adhering to guidelines.
β’ Acquire necessary parts and equipment within established limits and expertise.
β’ Provide homeowners with all essential information related to contracts, claims, or work orders.
β’ Collect any required documentation from customers and/or technicians.
β’ Present and clarify terms and conditions for claim options, including denial, cash out, replacement, reimbursement, and outside reimbursement, as well as processing payment requests.
β’ Assist with inbound call volume as necessary.
β’ May also procure parts and equipment within a defined limit.
β’ High School Diploma.
β’ Minimum of 2 years of customer service experience in a call center environment.
β’ Strong understanding of Home Warranty policies and technical knowledge of systems and appliances.
β’ Capability to present data clearly and understandably.
β’ Excellent verbal and written communication abilities.
β’ Ability to anticipate customer needs effectively.
β’ Exceptional customer service skills.
β’ Strong organizational skills with the capacity to multi-task, prioritize, and follow up.
β’ Proficient in managing challenging situations and difficult customers.
β’ Must possess analytical skills and attention to detail.
β’ Working knowledge of Microsoft Office and company operating systems.
β’ Bilingual fluency in Spanish is a plus.
β’ Medical insurance.
β’ Dental insurance.
β’ Vision insurance.
β’ 401k.
β’ PTO/paid sick leave.
β’ Employee stock purchase plan.
β’ Inclusive workplace culture.
β’ Equal opportunity employment.
Orbital Engineering, Inc.
TRIGA Consulting GmbH & Co. KG
Curana Health
SEGUROS INBURSA S.A., GRUPO FINANCIERO INBURSA
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