Claims Care Representative

2 weeks ago

New Berlin, United States Preferred Mutual Insurance Company Full time
Job DescriptionJob Description

Please note, employment offered to residents that reside in close proximity, within 45 minutes to 1 hour of New Berlin, NY because of on-site responsibilities.

Training will be required onsite for approximately the first 3-6 months. Hybrid schedule after the training is complete.

Training will be required on-site at our New Berlin, NY Office location.

The base pay range for this position is $17.00 to $19.00 paid on an hourly basis. The rate offered to any candidate will be reflective of the candidate’s experience and any relevant education, certification, or qualifications related to their ability to perform the responsibilities of this position as permitted by law.

At Preferred, we understand the importance of holistic health. To meet the diverse needs of our employees, we offer a comprehensive set of benefits:

Financial

  • Short-term disability, long-term disability, and life insurance coverage are provided at no cost
  • Optional benefits include enhanced life insurance and critical illness plans
  • 401k plan with an employer contribution that you will receive regardless of your own contribution to the plan
  • Pension Plan
  • Certain positions may also be eligible for short-term incentive plans.

Social

  • Generous paid time off, offering of 25 days at hire (prorated based on start date for the first year)
  • 7 days of paid sick leave
  • 10 paid company holidays
  • Personalized paid time off after 3 years

Emotional

  • Access to Modern Health, a provider of accessible, personalized mental health care

Physical

  • Medical, dental, and vision coverage options begin on the first day of employment
  • Flex Spending Accounts and Health Savings Accounts (with employer contribution) are available based on the medical plan you choose

YOUR PURPOSE AND FUNCTION IN OUR COMPANY:

The Business Services Representative will work to provide an exceptional experience to our valued internal and external customers by processing transactions and delivering services for high-touch and high-volume transactions and interactions of lower to medium complexity within the Business Services Unit (BSU), a single enterprise organization of shared services.

This opening is on the claims care team, this team collaborates with and supports claims teams throughout the enterprise on a daily basis. This prospective employee should be able to multitask well and also be able to pivot when necessary.

The Business Services Representative will:

  • Learn all of the routine transactions within assigned function and be able to work independently within 6-12 months.
  • Follow established SOP's and provide continuous improvement feedback to SOP's.
  • Meet individual goals within defined KPI's and SLA's.
  • Escalate issues and non-routine transactions to supervisor as appropriate;

KEY CAPABILITIES FOR SUCCESS:

  • A positive, customer-first attitude.
  • Attention to detail.
  • Team focus, able to work collaboratively as a member of a team.
  • Excellent listening skills.
  • Able to communicate in English clearly and effectively, both verbally and in writing.
  • Maintain a consistent quality and quantity of work at established standards.
  • Maintain confidentiality.
  • Ability to learn various technology platforms and navigate them simultaneously.

QUALIFICATIONS:

  • High School Diploma required.
  • 2+ years' work experience required, with related experience in the insurance industry strongly preferred.
  • Experience with various technology platforms utilized by Preferred Mutual including but not limited to Microsoft Windows, Microsoft Office Suite, etc.) desired.

ABOUT US: As a mutual company, we are independent by nature, so we think about insurance solutions a little differently. Through listening, problem solving, examining your challenges and collaborating on the right solutions for you, Preferred Mutual independent agents provide flexible solutions and adapt to your evolving needs. We do the same for our employees. We are process and domain experts, focused on the solutions that deliver results for our clients and our company. We offer a great work environment, professional development, challenging careers, and competitive compensation. With Preferred, there are no surprises. You can count on us to deliver on our promises and be there when you need us, as your insurance provider and your employer. Preferred Mutual is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law.

DISCLAIMER: This role (job) description indicates in general terms, the type and level of work performed as well as the typical responsibilities of employees in this classification. The duties described are not to be interpreted as being all-inclusive to any specific employee. Management reserves the rights to add, modify, change or rescind the work assignments of different positions and to make reasonable accommodations so that qualified employees can perform the essential functions of the job. Nothing in this position description changes the at-will employment relationship existing between Preferred Mutual Insurance Company and its employees.

The base pay range for this position is $17.00 to $19.00 paid on an hourly basis. The rate offered to any candidate will be reflective of the candidate’s experience and any relevant education, certification, or qualifications related to their ability to perform the responsibilities of this position as permitted by law.

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