Claims Customer Service Representative

2 weeks ago

Rome, United States Insurance Administrative Solutions Full time

* 28-Feb-2022 to 15-Mar-2022 (EST)

* Rome, GA, USA

* Hourly

* Full Time

*Medical - Dental - Vision - 401K - Basic and Supplemental Life Insurance - Long and Short Term Disability*

**ABOUT INSURANCE ADMINISTRATIVE SOLUTIONS**Insurance Administrative Solutions (IAS) is a third-party provider of comprehensive administrative solutions for our clients in the insurance industry. We offer a business process outsourcing solution that helps insurers optimize administrative workload, bolster their industry expertise, leverage emerging technologies, and streamline operations. With strong industry knowledge, we deliver value to our customers by providing compassionate customer service, efficient processing, and quality results. Here at IAS, we embrace the fact that great things are only accomplished by working as a team. We believe that all of our employees have valuable input no matter the level. Our highly collaborative team environment offers each of our employees a place where they can excel.

**Location: Rome, GA**

**JOB SUMMARY:** Examine, perform, research and make the decisions necessary to properly adjudicate telephone and written inquiries. Interpret contract benefits in accordance with specific claims processing guidelines. Communicate problems identified relevant to the claims processing system to the appropriate people. Receive, organize and make daily use of information regarding benefits, contract coverage, and policy decisions. Maintain external contacts with policyholders, providers of service, agents, attorneys and other carriers as well as internal contacts with peers, management, and other support areas with a positive and professional approach.

**ESSENTIAL DUTIES & RESPONSIBILITIES** (other duties may be assigned as necessary):

* Interpret contract benefits accurately to policyholder, agents, and providers with a positive and professional approach.

* Provide claim status to policyholders or providers with a positive and professional approach.

* Send out refund request letters and follow-up as necessary.

* Produce correspondence to customers.

* Answer calls as required by company policy in a helpful, professional, timely manner.

* Place outgoing calls as needed to provide or obtain information.

* Document (written/on-line) all calls while in progress.

* Transfer calls to employees in other departments as required to meet customer needs.

* Fully document policy file or imaging system with all related material so as to leave a clear and concise audit trail.

* Actively participate in cross training and group training sessions to maximize team efficiency and maintain or exceed service standards.

* Communicate openly with Supervisor, Team Lead and other team members to ensure accurate responses and avoid duplication of efforts.

**EDUCATION/EXPERIENCE:**

* High School Diploma or GED equivalent

* Minimum of one (1) year related experience in a fast paced call center required.

* Experience in medical/insurance preferred.

* Experience with Medicare Supplement preferred.

**BENEFITS:**

* Medical/Dental/Vision Benefits first of the month after hire date

* 401(k) Company matching and contributions are immediately vested

* 15 days PTO after 90 days

* Referral program

* 11 Paid Holidays

* Employee Assistance Program

* Tuition Reimbursement

**SCHEDULE:**

* Monday to Friday

* 37 hour work week

IAS is an equal opportunity employer.

Location (city, state or zip code) You must select a location. Education status You must select an education status answer. Seeking for You must select a seeking status answer.

  • Customer Service Representative

    7 days ago

    Rome, United States U-Haul Full time

    Location: 244 Erie Blvd E, Rome, New York 13440 United States of America Are you a people person? Do you love helping others? U-Haul is in search of friendly, motivated people for the position of Customer Service Representative. As a Customer Service Representative, you will work as part of a supportive team to be the face of U-Haul company’s...

  • Customer Service Representative

    2 days ago

    Rome, United States Freeman Holdings Group Full time

    Our motto, "We are Ladies and Gentlemen, serving Ladies and Gentlemen", is evident in every interaction with our customers, co-workers, and team mates. We strive to find the best and brightest talent for each position within our organization, enabling the unique qualities of each individual to shine and compliment the entire team. Is the customer #1 with...

  • Licensed Insurance Customer Service

    5 days ago

    Rome, United States Teresa Lumsden - State Farm Agency Full time

    Job DescriptionJob DescriptionPosition Overview Successful State Farm Agent is seeking a qualified professional to join their winning team for the role of Licensed Customer Service Representative - State Farm Agent Team Member. Active Property and Casualty license is required. We seek an licensed energetic professional interested in helping our business grow...

  • Bilingual Customer Service

    5 days ago

    Rome, United States Teresa Lumsden - State Farm Agency Full time

    Job DescriptionJob Description Successful State Farm Agent is seeking a qualified professional to join their winning team for the role of Bilingual (Spanish/English) Insurance Customer Service Representative. Insurance experience is not required as we will train the right person with the right skill set. Must be fluent in both English and Spanish. We seek an...

  • Roof Technician

    2 weeks ago

    Rome, United States Hancock Claims Consultants Technicians Full time

    Job DescriptionJob DescriptionCLIMB to New Heights…And live the American Dream. Become part of something bigger by contracting with the nation’s top provider of roof and property inspection services working with insurance carriers and adjusters in your area. This is an independent contractor position.We are seeking professional inspectors to join our...

  • POS Customer Service Representative

    5 days ago

    Rome, United States Insurance Administrative Solutions Full time

    * 28-Feb-2022 to 15-Mar-2022 (EST) * Rome, GA, USA * Hourly * Full Time *Medical - Dental - Vision - 401K - Basic and Supplemental Life Insurance - Long and Short Term Disability* Insurance Administrative Solutions (IAS) is a third-party provider of comprehensive administrative solutions for our clients in the insurance industry. We offer a business...

  • QSR Customer Service Representative

    7 days ago

    Rome, United States Circle K Full time

    Store 2727075Q: 1881 Calhoun Hwy NE, Rome, Georgia 30161 Availability - Shift/Days Flexible Availability The position includes, but is not limited to, the following essential job duties, responsibilities, and requirements: RESTAURANT TEAM MEMBER EXPECTATIONS: Provides excellent guest service in a fast and friendly mannerMaintains a clean restaurant...

  • Customer Service Rep I

    2 weeks ago

    Rome, Georgia, United States Atrium Health Full time

    Overview The Customer Service Representative is responsible for handling all incoming phone calls and assisting patients that present to the Patient Financial Services department inquiring about their account. Process patient correspondence and perform special tasks when necessary.The qualified candidate will possess the following:A. EducationHigh School...

  • Customer Service Associate

    5 days ago

    Rome, United States Ollie's Bargain Outlet, Inc. Full time

    Join our team and live the Ollie-tude!: (Ollie's Core Values)BE A TEAM PLAYER- Associates are expected to be supportive and work together. BE CARING- How do I treat others with courtesy, dignity, and respect? BE VALUE OBSESSED- Live the "good stuff cheap" mindset. BE COMMITTED- Operate with grit, passion, tenacity, and action. BE GROWING- How do we get...

  • Patient Service Representative

    3 days ago

    Rome, United States AdventHealth Medical Group Full time

    Location: Location: ** Patient Service Representative at AdventHealth** **Date Posted:** 3/3/2022 **Location:** **Job Description** Description ***Patient Services Rep Food Service FT Days/Evenings - AdventHealth Redmond*** ***Location Address: 501 Redmond Rd, NW, Rome 30165*** ***Top Reasons To Work At AdventHealth Redmond*** *Faith based organization*...

  • Member Services Representative

    6 days ago

    Rome, United States Excel Fitness Full time

    Position: Member Services Representative - Front DeskReports to: General Manager (GM)/ Assistant Manager (AM) / Shift LeadDepartment: OperationsPurpose: Help promote our Judgement Free Zone, by representing our core values and adhering to our business drivers during each scheduled shift. Duties and Responsibilities: Perform to your best abilities during...

  • Customer Service

    1 month ago

    Rome, United States Staffworks Full time

    Are you looking for a career in a team environment? Staffworks is currently hiring to fill an LTL (Less Than Truckload) Customer Service position. Seeking someone with exceptional customer service skills and who can collaborate with the team to probl Customer Service, Retail, Staffing, Customer

  • Patient Service Representative-The Breast Center

    2 weeks ago

    Rome, United States Atrium Health Full time

    Overview The Patient Services Representative is responsible scheduling and/or checking patients into the department and for the representation of patients and families in non-medical matters pertaining to their needs, comfort and personal satisfaction. The qualified candidate will possess the following:A. Education1. High school graduate or equivalentB....

  • Patient Service Representative-The Breast Center

    2 weeks ago

    Rome, Georgia, United States Atrium Health Full time

    Overview The Patient Services Representative is responsible scheduling and/or checking patients into the department and for the representation of patients and families in non-medical matters pertaining to their needs, comfort and personal satisfaction.The qualified candidate will possess the following:A. EducationHigh school graduate or equivalentB....

  • Customer Service Specialist

    6 days ago

    Rome, United States PPC Flex Full time

    Job DescriptionJob DescriptionOur culture at PPCFLEX is grounded in a genuine desire to do what’s right. We are a collaborative and caring team who support one another and celebrate everyone’s contribution to our success. We have a passion for flexible packaging and delivering results for our customers. Customer Service SpecialistIn this role you...

  • PT Customer Service Leader

    7 days ago

    Rome, United States Food Lion Full time

    Address: USA-GA-Rome-3365 Martha Berry Hwy Nw Store Code: Store 01288 Front End (7221076) Food Lion has been providing an easy, fresh and affordable shopping experience to the communities we serve since 1957. Today, our 82,000 associates serve more than 10 million customers a week across 10 Southeastern and Mid-Atlantic states. PRIMARY PURPOSE To provide...

  • FT Customer Service Associate

    2 days ago

    Rome, United States Hannaford Supermarkets Full time

    Address: USA-NY-Rome-808 West Chestnut Street Store Code: Store 08449 Customer Service (7250646) Hannaford Supermarkets started out as a fresh produce vendor in Portland, Maine way back in 1883, and is still connected to those early roots as a local market. Hannaford actively seeks out farmers and producers to join our Local program which celebrates not...

  • Patient Service Representative

    6 days ago

    Rome, United States American Health Imaging Full time

    This is a full-time position working Monday-Friday 2pm-10pm. **Robust benefit offerings include**: - Medical / Dental / Vision / Life / Pharmacy Plans, with Benefits effective first day of the month following hire date - 401(k) - Employer Paid Short-Term Disability - Employer Paid Life/AD&D - Voluntary Life - Paid Maternity Leave - Paid Vacation Time - PTO...

  • Front Counter Customer Service Cashier

    1 month ago

    Rome, United States Doug’s Deli Downtown Part time $9 - $15

    Doug’s is looking for a few responsible customer service cashiers to work lunch and dinner.Cashier $9+ $15 per hour.Duties will include but are not limited to:  •  Directly relating to customers Operating a register / Customer ServiceSweeping.Mopping.Taking orders.Running food.Answering phones.Wiping tables.Filling catering orders.Some...

  • Front Counter Customer Service Cashier

    1 month ago

    Rome, United States Doug’s Deli Downtown Full time

    Doug’s is looking for a few responsible customer service cashiers to work lunch and dinner.Cashier $9+ $15 per hour.Duties will include but are not limited to:  •  Directly relating to customers Operating a register / Customer ServiceSweeping.Mopping.Taking orders.Running food.Answering phones.Wiping tables.Filling catering orders.Some...