Customer Service Representative

6 days ago

Union, Kentucky, United States Sedgwick Full time

About the Role

Sedgwick is seeking a highly skilled and dedicated individual to join our team as a Customer Service Representative. As a key member of our service center, you will play a vital role in providing exceptional service to our clients and their customers.

Key Responsibilities

  • Act as the primary liaison with clients and their customers, providing assistance with questions and solving problems related to claims applications and servicing processes.
  • Educate and inform clients and customers about documentation required to process a claim, required time frames, payment information, and claim status.
  • Educate claimants and customers on client requirements and benefit plans, documenting all required details of the call in a concise and professional manner.
  • Enter verbal and written application information into the claims management system, ensuring accuracy and meeting both internal and external customer requirements.
  • Assign new claims to the appropriate claims handler.
  • Direct customer calls to the appropriate contact or escalate to Service Center Specialist/management as needed.

Requirements

  • High school diploma or GED required; college courses preferred.
  • One year of customer service experience or equivalent combination of education and experience required; inbound call center experience preferred.
  • Knowledge of medical terminology, understanding of claims management, and excellent oral and written communication skills.
  • PC literate, including Microsoft Office products, and strong organizational skills.
  • Ability to multitask in a fast-paced environment, support multiple clients across communication channels, and utilize multiple systems simultaneously.
  • Ability to work in a team environment and/or independently, meeting or exceeding Performance Competencies.

About Sedgwick

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. We are committed to building a diverse, equitable, and inclusive workplace, recognizing that each person possesses a unique combination of skills, knowledge, and experience.

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