Customer Service Representative I - Calabasas, CA – CAL00180

Description

CLAIM YOUR FUTURE AS A GREAT PERFORMER!

Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Claims Management Services the place where great people can do great things for clients while maximizing their career possibilities.  We have earned a reputation for innovation, quality, sustained growth, financial stability and a colleague-friendly work environment.  We are proud to have been recently voted the Best TPA in America for 2005 and 2006, and the first and only Third Party Administrator to receive the coveted Employer of Choice® designation.  Come be a part of our team and 'Claim Your Future.'

PRIMARY PURPOSE: To expedite the claims application process; to ensure correct case assignment; and to act as a customer liaison in assisting the customer with the correct contact person to resolve problems and/or questions.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

1. Acts as primary liaison with customer in solving problems related to the application process and service.
2. Communicates clearly and professionally with the customer by telephone and/or written correspondence regarding all aspects of claims process.
3. Educates and informs the customer by telephone, written correspondence and/or the claims system about the documentation required to process a claim, required time frames, payment information and claim status.
4. Enters verbal and written application information that meets both the internal and external customer's requirements accurately into the claims management system.
5. Assigns new claims to the appropriate claims handler.
6. Directs customer calls to the correct person at all locations.
7. Participates in and maintains a quality service culture within the Customer Service Team.
8. Supports the Total Performance Management initiative.

Education & Licensing: High school diploma or GED required

Experience: One (1) year customer service experience required, preferably in an inbound call center

Skills & Knowledge:

• Knowledgeable in disability plan eligibility, coverages and benefits
• Good customer service skills
• Excellent oral and written communication skills, including presentation skills
• PC literate, including Microsoft Office products
• Strong organizational skills
• Good interpersonal skills
• Ability to work in a team environment

Sedgwick CMS is an Equal Opportunity Employer

and a

Drug-Free Workplace