Role: Customer Service Rep
Location: St. Petersburg, FL 33716/ Plano, TX 75075/Little Rock, AR 72211/Cedar Rapids, IA 52402
Duration: Full time
Responsibilities
Communicates with customers regarding service request or problems; documents, evaluates, and resolves customer's inquiries. Evaluates and analyzes documentation thoroughly to determine claim processing according to policy/certificate provisions and state regulations with limited authority limits Analyzes any additional information/documentation received to determine how to proceed with a review of a claim under supervision and determines methods of obtaining information from alternative sources Manages the review of a claim and the outside sources used in the review Thoroughly documents all contacts and conversations; follows up as required. Corresponds verbally and in writing with claimants, medical providers, medical examiners, and law enforcement when needed. Works with other departments to complete customer requests as needed and minimize escalations. Gains proficiency in various administration and automated workflow systems. Monitors claims for fraud and proceeds accordingly Represents Transamerica with professional pride to internal and external customers. Consistently meets/exceeds set quality and productivity metrics. Functions w/in a team-based environment, and actively participates in achieving team goals. Meets/exceeds performance metrics as determined by department.
Qualifications
High School diploma or equivalent. Up to 2-year experience in claims. Strong organizational, problem solving and analytical skills. Flexible and adaptable to change as well as multitask skills. Fundamental computer knowledge and maneuverability within window applications. Basic understanding of Microsoft office suite, specifically Word and Excel.
Preferred Qualifications
Associates degree preferred. General understanding of life and health insurance, retirement, annuity and investment products a plus. Experience working within a computer mainframe a plus.
Behavioral & Leadership Competencies
- Ability to maintain confidentiality of customer and company information.
- Ability to work independently and seek additional opportunities when able.
- Ability to work in a team environment to develop integrity, trust, and respect of coworkers at all levels
- Good verbal and written communication skills