Combined Insurance, a Chubb Company, is seeking a Claims Resolution Specialist to join our fast-paced, high energy, growing company.
We are proud of our tradition of success in the insurance industry of over 100 years. Come join our team of hard-working, talented professionals!

JOB SUMMARY

The Claims Resolution Specialist will drive business by processing entry-level claims including payment and status updates. Additionally, the role is responsible for addressing and resolving escalated customer inquiries that arise via phone or email. The role will
perform
assigned tasks within the Claims department in accordance with established procedures and guidelines while developing the skills and knowledge required for adjudicating more complex claims.

SKILLS

• Ability to work in a fast-paced environment

• Ability to manage competing priorities and problem-solve

• Strong organizational skills with attention to detail

• Excellent written and verbal communication skills

• Quality and customer centric orientation

• Analytical with good decision- making skills

• Medical terminology knowledge preferred

• Insurance experience preferred

• Proficient in MS Office Suite

• Bilingual (English/Spanish) is a plus

EDUCATION AND EXPERIENCE

• 0-1 yrs. experience in claims preferred

• High school diploma required

• 5+ yrs. experience in call center environment preferred

• Develop the ability to work effectively with the policyholders, providing accurate and timely information as required by our business standards

• Reviews, processes and accurately pays claims on supplemental coverage according to Company procedures, policies and appropriate state regulations

• Request additional information from policyholders, providers and others as necessary to finalize claims

• Manage pending files

• Ability to handle/address customer phone/email inquiries with a customer-centric approach

• Create claim related correspondence

• Provide customer service to internal and external customers by answering questions both in writing and by phone.

• Meet department standards for time service and quality

• Build customer and product knowledge to manage claim / call handling policies, procedures, processes and tools as well as Claims competencies

• Understand organizational objectives, support process improvements, and

  provides
  feedback to leadership

• Perform other duties as assigned