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Mutual of Enumclaw

Claims Response Center Representative

Claims AdjudicationPosted on Nov 14
Full-timeEnumclaw, WA, USA$21.34 - $25.91

About the Job

Requirements

  • Demonstrated proficiency with Microsoft Office products and claims-related software programs.
  • Experience in conflict resolution and problem-solving.
  • Ability to manage multiple priorities with a high level of attention to detail and accuracy while remaining flexible to meet business needs.
  • Ability to adapt to a changing and fast-paced environment.
  • Two to five or more years of customer service or administrative experience; insurance industry experience is preferred.
  • An associate’s degree is preferred, or equivalent work experience.
  • Ability to work within driving distance of the Home Office and have high-speed internet; an internet speed test is required.

Responsibilities

  • Provide ethical, responsive, personal, and efficient claim service.
  • Receive and process loss reports from customers in a high-volume call center environment.
  • Interact with Members, customers, agents, the Claims Team, and other Home Office departments to ensure accurate, efficient claims processing.
  • Manage workload fluctuations while maintaining focus on claims quality and timely customer service.
  • Provide claim support and perform analytical functions as directed, including data entry and processing documents and forms.
  • Issue, process, and/or reconcile a high volume of claim payments and reimbursements, and complete funds management tasks.

Desired Qualifications

  • Bilingual skills.
  • Experience working in a structured call center environment.

About the Company

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