Customer Service Representative

Job Summary

Join our dynamic team as a Specialist in Insurance Claims where you will leverage your expertise in customer service and workers compensation to deliver exceptional results. With a hybrid work model and day shifts you will play a crucial role in enhancing our service delivery and ensuring client satisfaction. Your proficiency in Spanish will be instrumental in communicating effectively with our diverse clientele.

Responsibilities

• Manage and process insurance claims efficiently to ensure timely resolution and client satisfaction.
• Collaborate with team members to analyze claims data and identify trends for continuous improvement.
• Utilize your customer service skills to address client inquiries and provide accurate information.
• Implement best practices in workers compensation to optimize claim handling procedures.
• Communicate effectively in Spanish to assist Spanish-speaking clients and stakeholders.
• Maintain accurate records of claims and ensure compliance with company policies and regulations.
• Provide insights and recommendations to improve claims processing and reduce turnaround time.
• Coordinate with internal departments to streamline claims operations and enhance service delivery.
• Monitor and report on claims performance metrics to support decision-making processes.
• Assist in developing training materials and resources for new team members.
• Stay updated on industry trends and regulatory changes to ensure compliance and best practices.
• Support the team in achieving departmental goals and objectives through proactive collaboration.
• Contribute to a positive work environment by fostering teamwork and open communication.

Qualifications

• Demonstrate proficiency in customer service with a focus on client satisfaction and relationship management.
• Possess strong knowledge of workers compensation processes and regulations.
• Exhibit excellent communication skills in both English and Spanish.
• Show ability to work effectively in a hybrid work model with minimal supervision.
• Have a keen eye for detail and accuracy in claims processing.
• Display strong analytical skills to identify trends and improve processes.

Certifications Required

Certified Workers Compensation Professional (CWCP) or equivalent certification.