Customer Service Call Center (In-person)

Full time

Fortune Best Workplaces in Financial Services & Insurance

Service Center Representative

To provide excellent service to callers regarding claims for multiple lines of business; to expedite the claims application process and provide detailed claim notes on all calls; follows client specifications in assisting with questions and solving problems related to the claims application and servicing processes.

Educates and informs the customer via multiple communication channels about documentation required to process a claim, required time frames, payment information, and claim status.

Educates claimants/callers on client requirements and benefit plans documenting all required details of the call in a concise professional manner.

Enters verbal and written application information that meets both the internal and external customer's requirements accurately into the claims management system.

Assigns new claims to the appropriate claims handler.

Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist/management as needed.

Supports the organization's quality program(s).

High school diploma or GED required. One (1) year customer service experience or equivalent combination of education and experience required. Inbound call center experience preferred.

Knowledge of medical terminology

Understanding of claims management

PC literate, including Microsoft Office products

Ability to support multiple clients across communication channels and utilize multiple systems simultaneously

Ability to meet or exceed Performance Competencies

Computer keyboarding, travel as required

Auditory/Visual: Hearing, vision and talking

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape.