Tier II Claims Resolution Representative - 12pm - 8pm
Koozie Group
Customer Support Claims Tier II
Do you have a passion for excellence? Are you a natural problem solver who loves to deep dive and find the root cause of an issue? Are you someone who looks around corners anticipating the next steps to avoid delays and hurdles?
If you answered yes to any of the above questions…we want you!
Our Omni Channel Support Specialist team is Customer Obsessed and strives to provide a world class experience with each and every customer interaction. We interact with our customers through many channels, including email, telephone, text and chat and are looking for folks who understand how to make personal connections with our customers and help ensure their orders are processed properly, on time and with a smile!
Our ideal Omni Channel Support Specialist candidate is awesome at the following:
- Demonstrate the ability to think quickly and deliver results
- Demonstrate active listening, critical thinking and problem-solving skills
- Ability to move quickly through multiple systems to find information and deliver a response based on findings
- Demonstrate empathy to customers, deescalate issues with care and compassion, and maintain a professional attitude at all times
- Deliver all communications with kindness, verbal, email, chat and other – we strive to make every interaction positive and productive
- Be process oriented, understanding the value of standard work and consistency
- Always act with Integrity and take personal ownership of all you do
- Champion change and adapt quickly and positively in a dynamic workplace
As part of our team, you will:
- Research/Investigation -Research current systems and other related items to identify the cause
- Adjustments -issue credits/discounts and accurately enter information into order management system.
- Assist in managing daily claims workflow for decorated product issues, including misprints, order errors, product defects, shipment delays, and damaged goods.
- Answering incoming calls and inquiries from our customers, sales and account management to resolve customer questions and concerns
- Researching customer inquiries utilizing company resources and document customer conversations, information, questions, corrective action/answers, and product orders in the tracking application
- Resolving roadblocks by researching and working with other departments. Follow through on issues by placing outgoing calls to retrieve additional information or returning calls to offer information regarding resolution
- Acting as a liaison between client and various departments
- Assist in ensuring claims are processed within service-level standards, maintaining a balance between customer satisfaction and company policy.
- Participating in meeting team goals for service, quality and cost
- Participating in and support company-wide initiatives such as continuous operational improvement in order to improve service, reduce costs, and improve quality
- Mentor, advise and lead your team members in their journey to customer excellence.
- Lead by example, handling customer escalations with creative problem-solving.
- Raise the Bar with each and every customer interaction, delivering an amazing customer experience utilizing service excellence techniques
- Consistently and respectfully Raise the Bar by identifying trends in customer concerns and escalating properly to leadership
- Take responsibility to develop a deep knowledge of our product portfolio and a working knowledge of Operations business processes including order flows, manufacturing and shipping.
- Able to identify and drive process improvements or make recommendations that improve the overall customer experience.
- Support special projects, system enhancements and cross-department initiatives related to claims management
- Other duties as required
Minimum Qualifications:
- High School Diploma or Equivalent
- 2 - 4 years customer service/support experience
- Tech savvy with the ability to communicate using multiple channels; chat, text, email
- Proficiency using Microsoft Office Suite, specifically Outlook, Word & Excel
- Excellent communication, conflict resolution, and problem-solving skills
- Willingness and ability to work remotely
Preferred Qualifications:
- Experience using order management systems such as Oracle & Salesforce
- Call Center Experience
Our customers come from all walks of life and so do we. We hire great people from a wide variety of backgrounds, not just because it's the right thing to do, but because it makes our company stronger. If you share our values and our enthusiasm to Keep the Good Going, you will find your way at Koozie Group. Koozie Group is proud to be an Equal Opportunity Employer. We do not discriminate against any applicant or employee based on race, age, sex (including pregnancy, childbirth, or related medical conditions), gender, marital status, national origin, ancestry, citizenship status, mental or physical disability, religion, creed, color, sexual orientation, gender identity or expression (including transgender status), veteran status, genetic information, or any other characteristic protected by applicable federal, state or local law. Koozie Group also prohibits harassment of applicants and employees based on any of these protected categories. In compliance with the Americans with Disabilities Act, Koozie Group will provide reasonable accommodations to qualified individuals with disabilities and encourages both prospective and current employees to discuss potential accommodations with the employer
- ...Customer Support Claims Tier II Do you have a passion for excellence? Are you a natural problem solver who loves to deep dive and find... ...information or returning calls to offer information regarding resolution Acting as a liaison between client and various departments...SuggestedWork at officeLocal areaRemote work
- ...customer service experience, and proficiency in Microsoft Office Suite. This role involves problem-solving, research, and assisting in claims management while ensuring high customer satisfaction. A people-first culture and robust training are offered for all positions. #J-...SuggestedWork at office
- ...Wolfson Children's Hospital.Baptist Health is hiring a Claims Resolution Specialist II for our Hospital Billing Team department. This is a full... ...from paying entities.Communicates with third-party representatives as necessary to complete claims processing and /or resolve...SuggestedFull timeWork at office
- ...Customer Support Tier II If our name sounds familiar, there's a reason why. We're the... ...returning calls to offer information regarding resolution Meeting individual customer service... ...with other customer service claim teams Responding to client inquiries...SuggestedWork at officeLocal areaRemote work
$100 per hour
Claims Representative II - Auto Adjuster - (Hybrid) - Remote | WFH job at Get It - Executive. Indianapolis, IN. Are you a skilled claims professional... ...You'll play a key role in ensuring fair and timely claim resolutions while providing excellent service to policyholders and...SuggestedRemote jobFull timeTemporary workWork at officeWork from homeFlexible hours- Join to apply for the Michigan Homeowners Claim Representative II role at AAA-The Auto Club Group . Get AI-powered advice on this job and more... ..., taking statements, and establishing evaluation and resolution plans for claims. Responsibilities include reviewing claims...Full timeWork at officeFlexible hours
- Markel Service Inc. in Omaha, Nebraska is seeking a Claims Adjuster responsible for the resolution of moderate complexity Workers Compensation claims. The role requires a bachelor's degree and eligibility for a claims adjuster license. The ideal candidate has 2-3 years...
$60k - $71.05k
Claims Analyst II page is loaded## Claims Analyst IIlocations: 8215 Greenway Boulevard - MIDDLETON... ...cutting-edge technology and top-tier human support together, we connect clients... ...handling claims from assignment through resolution, ensuring timely, accurate, and compliant...Work at officeImmediate startFlexible hours$55.3k - $92.6k
...Join to apply for the Claim Representative II Remote role at Emergent Holdings . Job Description This is the intermediate level of the claim... ...service skills. Negotiation, consensus-building, and conflict resolution abilities. Ability to manage multiple priorities and meet...Full timeContract workWork at officeLocal areaRemote work$56.7k - $94.9k
...Claim Representative This is the entry level professional claim handler. Handles medical only and... ...Concludes and closes files following resolution of claims to meet internal performance... ...years of AF Group Claims Representative II experience that includes discretion in...Contract workTraineeshipWork at office$70k - $85k
...Overview Position Title: Workers' Compensation Claim Representative II Location: Maitland, FL (hybrid preferred, remote considered)... ...claim investigations, compensability decisions, and timely resolution strategies. This role provides an excellent opportunity to...Work at officeRemote work$59.13k - $69k
...Full time Exempt/Non Exempt: Salary Job Description: APD Claim Representative II (Florida) - The Auto Club Group Reports to: APD Claim Manager... ..., take statements and establish clear evaluation and resolution plans for claims. In this position, you will have the opportunity...Full timeTemporary workWork experience placementRemote workWork from homeRelocationHome officeFlexible hoursNight shiftWeekend workAfternoon shift- ...Call Center Representative Location: Washington, DC Duration: Long Term Work duties... ...level troubleshooting support, problem resolution and walk the user through a series of steps... ...GOTS products. Escalate tickets to Tier II/Tier III Technicians if an incident or...Work at officeRemote workWeekend work
$70k - $85k
Overview Position Title: Workers' Compensation Claim Representative II Location: Maitland, FL (hybrid preferred, remote considered) Schedule... ...claim investigations, compensability decisions, and timely resolution strategies. This role provides an excellent opportunity to...Work at officeRemote work- ...DigitalOptometrics, a growing company in the telehealth field, seeks a Desktop Support/Customer Service Technician - Tier II to join out Lake Success, New York office. This is a fully onsite position in which you will be working a mixed role providing both technical...Work at officeRemote work
$250k
...will be responsible for the resolution of moderate complexity and moderate... ...Workers Compensation claims in multiple jurisdictions. The... ...high level of production. Represents Markel in mediations, as required... ...for the Claims Examiner II is $62,400 - $85,800 with 12%...Full timeWork experience placementWork at officeLocal areaRemote workWork from home- ...and other common practices across the system. Position Summary The Epic Hospital Billing Claims and Remittance Analyst II is responsible for supporting and optimizing Epic’s Resolute Hospital Billing (HB) module, focusing on claims processing and remittance workflows....Work at officeRemote work
$59.9k - $98.2k
...Claims Specialist II - Workers Compensation 132811 At Zurich North America Claims we acknowledge that work life-balance and flexibility... ...the loss falls within the coverage. Work to have a timely resolution to claims by developing case strategy; developing a case...Full timeTemporary workFor contractorsApprenticeshipWork at officeLocal areaRemote workVisa sponsorship- ...Lost Time Claims Specialist Ii UPMC WorkPartners is hiring a full-time Lost Time Claims Specialist II! This role will predominantly work... ...direction of supervisor. # Pro-actively manages the case resolution process. May participate in mediations within limit of settlement...Full timeRemote workMonday to Friday
$90k
...Job Description CGL Claims Examiner II Job Summary Seeking a highly skilled and motivated CGL Claims Examiner II to join a... ...inception to closure, including investigation, evaluation, and resolution of claims. Document all claim file activity, including...Local areaFlexible hours$116k - $162k
...Claims Specialist II Everest Insurance Company is seeking an experienced claims professional or attorney to join the Casualty Claims team... ...Developing and executing claim strategies as well as resolution strategies Negotiating and resolving cases Attending...Full timeImmediate start$34k - $39.5k
...Innova Solutions is immediately hiring for a Claim Analyst II. Position type: Permanent Duration: Fulltime Location: Remote As... ...Enterprises (MBEs) in the United States (NMSDC, 2024) AWS Advanced Tier Services Partner with 100+ certifications Website :...Permanent employmentFull timeTemporary workWork experience placementImmediate startRemote workWorldwideFlexible hours$59.9k - $98.2k
...At Zurich North America Claims we acknowledge that work life-balance and flexibility are... ...North America is hiring an Claims Specialist II to join our Workers Compensation team! We... ...the coverage. Work to have a timely resolution to claims by developing case strategy;...Full timeTemporary workFor contractorsApprenticeshipWork at officeLocal areaRemote workVisa sponsorship- ...place for you. Company URL: Responsibilities The Claims Analyst II is responsible for managing high-exposure Workers... ...explore potential exposures Lead evaluation, mitigation and resolution of WC claims by collaboration with MEC Medical Management Consultants...
$116k - $162k
...Title: Claims Specialist II Company: Everest Insurance Company Job Category: Claims Job Description: About Everest:... ...Developing and executing claim strategies as well as resolution strategies Negotiating and resolving cases Attending...Full timeImmediate start- ...Claims Resolution Specialist At the Innovative Hematology (IHI), we offer a future where people... ...of revenue cycle operations. Level II Investigate, analyze, and... ...Communicate effectively with payer representatives to advocate for reconsideration and drive...Remote work
- ...Job Information Job Title Claims Representative II- General Liability (Bodily Injury focused) Home Department: Claims Employment Status: Exempt; Full-time Schedule: 40 hours/week with Flexible Scheduling Opportunities Position...Full timeLocal areaRemote workHome officeFlexible hours
$21.4 - $26.74 per hour
...Claims Examiner II Location: Bakersfield, CA. (Onsite) Classification: Full-Time This position is non-exempt and will be paid on... ...providers, Health Plans, and applicable staff, as needed for claim resolution. Maintain compliance with established production and...Hourly payFull timeWork at officeMonday to Friday$59.9k - $98.2k
...Claims Specialist II - Workers Compensation At Zurich North America Claims we acknowledge that work life-balance and flexibility are a... ...the loss falls within the coverage. Work to have a timely resolution to claims by developing case strategy; developing a case evaluation...Full timeTemporary workFor contractorsApprenticeshipWork at officeLocal areaRemote workVisa sponsorship- ...outstanding leaders and teammates. Position Summary The Underwriter II – Commercial Lines is responsible for providing high-level... ...agent inquiries via phone and email, with attention to detail and resolution follow-through. Manage workflow from tasks indexed via email and...Temporary workImmediate startRemote workFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Tier II Claims Resolution Representative - 12pm - 8pm. Be the first to apply!
- general liability claims adjuster United States
- claims processor United States
- senior claims specialist United States
- claims analyst United States
- medical insurance claims specialist United States
- life insurance claim analyst United States
- claims resolution specialist United States
- medical claims analyst United States
- remote medical claims processor United States
- claims analyst work from home United States

