Customer Quality and Claims Specialist
Service Wire
Service Wire Company, a premier supplier of industrial and utility wire and cable, is currently seeking a Customer Quality and Claims Specialist in Culloden, WV. If you are looking to join a great organization and a chance to become a part of our growing team, this may be the opportunity for you! Position Summary: The Customer Quality and Claims Specialist supports internal and external customers by managing product claims, returns, and quality related inquiries. The role investigates issues, coordinates resolutions across departments, and ensures timely, accurate, and professional communication while recommending process improvements to prevent future claims. Tasks/Duties/Responsibilities: Monitor and manage customer cases, proactively addressing delays Investigate and resolve product claims, pricing adjustments, and deductions in coordination with Sales, Shipping and Quality Control Analyze customer complaints to determine root cause, corrective actions, and preventive measures Communicate findings, resolutions, and recommendations to customers and internal stakeholders Manage freight claim by providing raw material scrap values and re-claimed materials while tracking the funds received Check records, such as bills, computer printouts, and related documents and correspondence and converse or correspond with customer and other company personnel, such as sales, shipping, engineering, and credit, to obtain facts regarding customer complaint Notify customer and designated personnel of findings, adjustments, and recommendations, such as exchange of merchandise Recommend improvements in product, packaging, shipping methods, service, or billing processes to minimize future claims. Perform additional duties as assigned Knowledge/Skills/Requirements: High school diploma or equivalent; 2-year degree preferred Strong research, documentation, and analytical skills Proficient with Microsoft Office Solid basic math skills Ability to multi-task, prioritize, and manage time effectively Strong written and oral communication skills Ability to effectively interact with internal and external customers Ability to travel from time to time (less than 10%) Familiarity with office equipment including printers, copiers, scanners etc. Reports To: Quality Assurance Manager The perks of joining our Team Comprehensive Insurance Options - Competitive medical coverage with a variety of plan choices Progressive PTO & Paid Holidays - Tenure-based paid time off pluseight paid holidaysannually 401(k) with Company Match + Profit Sharing - Matching 5% on 6% of employee contributions and annual profit‑sharing contributions Career Growth & Learning Support - Tuition reimbursement and employee assistance programs Tuition reimbursement up to $15,000 - annually to support your continued education and career growth Referral Bonus Program - Employee referral bonuses paid out over the new hire's first year See all benefits we offer here #J-18808-Ljbffr Service Wire
- ...Aon is seeking a Claims Specialist I to support warranty and waiver requests within member-based programs. You will answer... ...with a virtual team to meet production and quality metrics while delivering excellent customer service. Minimum one year in customer service is required...CustomerQuality
- ...retirement and health solutions provider, seeks a Claims Specialist I to support warranty and waiver requests for member... ...data into databases, maintain records, and work toward production and quality targets while delivering strong customer service. #J-18808-Ljbffr...CustomerQuality
$100k
...in Financial Services & Insurance Sr. Claims Specialist, Professional Liability | Medical Malpractice... ...costs while providing high levels of customer service. ARE YOU AN IDEAL CANDIDATE? We... ...assigned. Supports the organization's quality program(s). QUALIFICATIONS 6 years of...CustomerQualityLocal areaFlexible hours- ...: On-site Position Overview The Senior Claims Specialist investigates, evaluates, and resolves a... ...conversations. You’ll work closely with customers, agents, partners, and internal teams... ...together, and take pride in delivering high-quality service to our customers and agent...CustomerQualityPermanent employmentContract workTemporary workWork at officeShift work
$30.4k - $36.5k
...Aon is looking for a Claims Specialist I As part of an industry-leading team, you will help empower... ...incoming calls and make outbound customer service calls. Process warranty and waiver... ...strive to meet or exceed production and quality metrics while providing excellent and...CustomerQualityFull timeTemporary workPart timeWork experience placementWork at officeLocal area- Aon Corporation is seeking a Claims Specialist I to support warranty and waiver requests for member... .... You will build relationships with customers, document inquiries, and work both independently... ...a virtual team to meet production and quality metrics. #J-18808-Ljbffr Aon...CustomerQualityRemote job
- Forhyre is seeking a Claims Business Analyst to bridge IT capabilities and business objectives, supporting analysis, building,... ...Claims to ensure timely payment, optimize call flows, improve quality and customer experience, and develop dashboards and reports. The role...CustomerQuality
- # Claims Repricing Specialist (Remote)Fully Remote • Allied Benefit Systems - CHICAGO, IL 60606## OverviewSalary... ...HCFA and UB92’s preferred.* Previous customer service experience is preferred.**... ...* Functional/Technical Skills* Quality Focus* Time and Task Management**...CustomerQualityRemote jobWork experience placementWork from home
$17.71 - $25.28 per hour
...opportunities, and much more. The D‑SNP Claims Review Specialist reviews and processes Senior Care... ...processing of claims and in providing customer service. Identify and escalates system... ...increasing value and continuously improving quality are essential to maintaining...CustomerQualityHourly payFull timeWork at officeRemote workFlexible hoursShift work$55.13k - $110.64k
...Lost Time Workers' Compensation claims handling experience in... ...OBJECTIVE The Lost Time Claims Specialist, Workers’ Compensation primarily... ...the claims costs and promote quality medical care. Works... ...delivering unrivaled service to our customers. With success in mind, we make...CustomerQualityTraineeshipWork experience placementWork at officeRemote workFlexible hours$41.62k - $56.17k
...covered. The Job at a Glance Our Warranty Claims Specialist (internally known as Warranty Wizards) support our customers and manufacturers by providing an exceptional... ...verbal English (Spanish is a plus!)You have a quality, high speed internet connection at home You...CustomerQualityHourly payCasual workWork at office$16 - $22 per hour
## EverHealth - Backend Claims Management Specialist (Remote, US)Applylocations: Remote- UStime type: Full... ...empower the lives of our 745,000+ customers. As a leading service commerce platform... ...standardized processes that improve quality and consistency.* Collaborate cross-...CustomerQualityRemote jobHourly payWork at officeLocal areaImmediate startFlexible hours$13.5 per hour
This is a full-time permanent healthcare claims adjudicator position. A claims adjudicator... ...claim has been examined. This is not a customer service or customer facing position. This... ...meet all Key Performance Indicators and Quality goals throughout Training and beyond. What...CustomerQualityPermanent employmentFull timeWork at officeMonday to FridayFlexible hoursWeekday work- ## Remote Senior Claims Specialist - National Claim ServicesApplylocations: Remote - Florida: Remote - Texastime type: Full timeposted... ...potential fraud or litigation risks as appropriate.* Deliver quality customer service by maintaining open communication and providing...CustomerQualityRemote jobFull timeContract workTemporary workWork experience placementWork at officeShift workDay shift
- ## Pharmacy Claims SpecialistApplylocations: Pharmacy Solutions Group... ..., MD 21061**Pharmacy Claims Specialist** **Responsibilities:**... ...Group, addresses, invoice group, customer group, allergies, MRN, MEDA... ...with pride, is evident and a quality residents, families and community...CustomerQualityDaily paidTemporary work
- SafeRide Health is looking for a hands-on Claims Specialist to scale SafeRide. We are looking for a... ...Receive incoming calls from providers, customers, vendors, and internal groups, to... ...industry best practices, and reinforces high quality standards within the Billing team....CustomerQualityContract work
- ...administration solutions to employers, unions, health plans, and government entities. We are hiring a Customer Care Representative to triage calls, document claims concerns, and ensure quality care for members, pharmacies, and providers. This full-time remote role requires 2+ years...CustomerQualityRemote jobFull time
$25 per hour
Claims Audit Specialist_Quality Assurance Troy, NY, USA Job Description Posted Wednesday, August 19, 2026 at 4:00 AM Claims Audit Specialist Claims... ...information, cardholder data or other confidential customer information which must be protected at all times. As a result...CustomerQualityHourly payWork at officeLocal areaFlexible hours$82.5k - $171.45k
...exposure Workers Compensation claims in multiple jurisdictions.... ...regulations and internal Claims Quality Performance Objectives... ...Ability to deliver outstanding customer service and work effectively... ...for insurance, reinsurance, specialist advisory and investment operations...CustomerQualityFull timeWork at officeLocal area- ...Health Plan is currently hiring a Claims Processor III - Remote!... ...Responsible for all areas of customer service as it pertains to the... ...and Medicaid enrollees. Our quality provider network features a robust... ...provider network, including specialists, primary care physicians and...CustomerQualityRemote jobPermanent employmentFull timeCurrently hiring
- ...commercial insurance — we want to meet you. Claims Analyst, Managed Care The Managed Care... ...command, as needed. Provide outstanding customer service and collaborate with other departments... ...when needed. Assist team/managers in quality assurance audits to ensure adherence to company...CustomerQualityWork at office
- ## Complex Casualty Claims ConsultantApplyremote type: Remotelocations: Remote in UStime... ...Collaborates with the Claims Compliance and Quality Assurance team and Complex Casualty... ...Claims Director* Leverages Voice of the Customer insights on all aspects of customer interactions...CustomerQualityLocal areaRemote workWork from home
$85k - $110k
...experience commercial insurance. Like our small business customers, we are a diverse team of builders, dreamers, and... ...that guide every decision we make. The Senior Claims Adjuster will play a critical role in delivering quality claim file management and an industry-leading...CustomerQualityWork experience placementRemote work$62k - $67k
Liability Assoc. Claims Adjuster Department: Claims Administration & Adjusting Employment Type: Permanent - Full Time Location: Remote... ...status, strategy, and resolution progress. Deliver high-quality customer service. Maintain accurate and detailed claim documentation within...CustomerQualityPermanent employmentFull timeTemporary workFor contractorsLocal areaRemote work- ...Grow Your Career. At AssuranceAmerica, claims is more than resolving accidents—it's helping... ..., negotiate fair outcomes, and guide customers through one of the most important... ...that builds trust with customers. Balance quality, productivity, and customer service while...CustomerQuality
- ...and accurate processing of non-technical claim duties, utilizing procedures and processes... ...and services. Ability to produce high quality outcomes in a highly productive environment... ...and follow-up skills. Good listening and customer service skills. Ability to work independently...CustomerQualityWork at office
$24 - $28 per hour
...eligibility checks, tracking the life cycle of claims, and reviewing member transactions... ...+ claims each working day, maintaining a quality assurance score of 93% or higher Promptly... ...context about the team, business priorities, customer landscape, and what success looks like in...CustomerQualityHourly payTemporary workWorldwideMonday to FridayFlexible hours- ...position is responsible to adjust assigned claims within delegated limits of authority,... ...approved defense counsel; directs and monitors quality and performance of defense counsel.... .... Services the claim needs of our customers including insureds, claimants, brokers,...CustomerQualityLocal area
$43k - $59k
...benefits, join us! We're currently seeking a Claims and Appeals Processor who will be... ...matters and provide answers and support to Customer Success and Customer Support teams. Identify... ...ensuring members can easily access high-quality, affordable care while employers and brokers...CustomerQualityHourly payTemporary workWork at officeRemote workHome officeFlexible hours$25.75 per hour
Title: Claims Processor 1 Department: Claims Union: OPEIU 29 Grade: 16 Position Summary The Claims Processor provides customer service and processes routine health and welfare claims on assigned... ...who share our dedication to high-quality work, exceptional service and...CustomerQualityWork at officeLocal areaShift work
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