Claims Specialist – Level 1

This is a fully remote position, open to applicants in United States.

📋 Description

• Accurately process standard claims while adhering to service level agreements (SLA).

• Maintain comprehensive documentation of claims, including photos and communication logs.

• Provide exemplary customer service to contract holders and repair facilities.

• Input and update customer data, interactions, and case details in Salesforce/CRM.

• Collaborate with colleagues and other departments to facilitate customer support and resolve issues.

• Meet established metrics for calls, quality assurance, and attendance.

• Adhere to established workflows and escalation procedures.

• Professionally and promptly address and resolve customer complaints.

• Continuously develop and maintain knowledge of company products, services, policies, and procedures.

• Process and finalize claims within 7-10 days, ensuring accuracy, efficiency, and compliance.

• Achieve a quarterly quality assurance score exceeding 85% and meet audit performance standards.

• Remain seated for extended periods while consistently viewing and inputting data on a computer screen.

⛳️ Requirements

• At least 1-2 years of experience in customer service and/or claims processing, preferably in a call center setting.

• High School Diploma is required.

• Proficient in Salesforce and Microsoft Office Suite, including Outlook, Word, and Excel.

• Ability to navigate multiple computer systems efficiently while assisting customers.

• Exceptional verbal and written communication skills.

• Capability to convey complex information clearly, accurately, and concisely.

• Strong dedication to providing exceptional customer experiences.

• Ability to professionally and empathetically handle inquiries, issues, and complaints.

• Excellent time management and multitasking skills in a fast-paced environment.

• Strong analytical and problem-solving abilities.

• High level of accuracy and attention to detail in claims processing and documentation.

• Flexible and adaptable to change; quick to learn new systems and processes.

• Ability to collaborate effectively with team members and cross-functional departments.

• Must have access to a computer with a built-in operating system, such as Windows or macOS, and at least one external monitor.

• Successful completion of a pre-employment drug screening is required prior to starting work.

🏝️ Benefits

• Paid time off.

• Medical insurance.

• Dental insurance.

• Vision insurance.

• 401(k) match (50% on the dollar up to 7% of employee contribution).

• Potential for commission, bonuses, or profit sharing.

• Possibility of a sign-on bonus, subject to state and local laws, terms, and conditions.

• Remote work arrangement.

• A computer with a built-in operating system and at least one external monitor is required for daily tasks.