Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Claims Assistant. Location: San Ramon, CA. Job Description:
- Provides first line of claims related support to third parties & co-workers calling the Claims Helpline.
- Responds to incoming calls and emails requesting assistance with the claims process, claim status, claims policy questions and dispute resolution.
- Refers and/or escalates inquiries. Performs research for issue resolution. Utilizes reference materials, online resources and knowledge database to research, track, monitor and note issues in claims database.
Supports and coordinates claims related tasks. Answer Claims Helpline and effectively communicate understanding of claims policies and processes to claimants. Process claims as needed.
- Ensure that questions are fully addressed; escalate complex/difficult questions.
- Follow through to ensure that each Claims Helpline call is fully resolved.
- Record and track all customer contacts in the system of record.
- Review claims mail and distribute time sensitive correspondence and legal mail to appropriate contacts for action.
- Monitor department mailboxes and respond to internal & external emailed claim questions.
- Navigate the Claims Riskmaster database to search for, review, notate claims.
- Coordinate and support the implementation of claim related projects and initiatives as assigned.
- Provide operational support and or staff back up relief as necessary.
- Ability to work in a team environment.
- Ability to handle confidential and sensitive information with discretion.
- Exceptional customer and team support skills.
- Ability to multitask and manage a fluctuating workload.
- Proficient in Microsoft Word, Excel, PowerPoint and Outlook applications.
- Ability to communicate effectively verbally and in writing.
- Exceptional organizational skills to manage multiple complex projects at once, and work at a fast pace for an extended period of time, while being extremely adaptable and flexible.
- Ability to quickly learn new systems, and accept processes and procedures already established.
Top Things Looking for:
- Demonstrated customer service skills, problem solving skills, prior claims or escalation experience.
Top Skill Sets Looking for:
- Clear and confident communication, de-escalation, empathy, ability to multitask, time management, adaptability, comfortable using all Microsoft products.
Education Minimum:
- High School or General Education Development (GED) Diploma.
Desired:
Experience Minimum:
- 2 years' general office & customer service experience.
Desired:
- 4 years of related claims, legal-related operations support or coordinator experience.
- Customer service experience & Claims or legal-related support experience.
Ampcus is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veterans or individuals with disabilities.
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