Claims Loss Reporting Specialist

Claims Loss Reporting Specialist

This is an Onsite/In-office Position in Costa Mesa, CA

Job Summary

The Claims Loss Report Specialist is a para-professional position within the Claims Call Center Operation. This position is the first contact for claimants, primarily via inbound calls. The position receives and documents first notice of loss, takes overflow calls, and answers low complexity claims related questions for the Claims department while delivering a totally satisfying member experience through exceptional customer service. When service requests are beyond the position's training, appropriate point of contact is determined, and callers are redirected appropriately.

• Answer incoming calls for the Claims business unit and/or make routine telephone calls. Receive and accurately document first notice of loss calls
• Communicate and interact with a variety of individuals including insureds and claimants. Build trust and rapport by effectively communicating at the beginning of the claims process.
• Provide members legendary service quality and claims accuracy. Set expectations, demonstrate empathy, and provide reassurance to members.
• Explain and evaluate benefits, coverages, and claims process involving glass claims.
• Take overflow calls and answer low complexity claims related questions. Communicates guidelines, service options and solutions to meet member expectations and ensure a totally satisfied member experience.
• Demonstrate appropriate knowledge and use of the Claims systems.
• Answer member requests for general membership information and/or refer to appropriate parties.

• Associates or Bachelor's Degree or a Combination of experience and education
• 1-3 years Call center customer service required.
• Demonstrated proficiency in customer service required.
• Successful completion of foundation training required.
• English language fluency required.
• Professional communication skills required, both written and oral.
• Proficiency in using Microsoft Office software, including Outlook and Word.
• Strong typing skills with a high words-per-minute (WPM) typing speed and accuracy.

Additionally, for full time positions, you will be eligible to participate in our incentive program based upon the achievement of organization, team and personal performance.

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• Health coverage for medical, dental, vision
• • 401(K) saving plans with company match AND Pension
• • Tuition assistance
• • Floating holidays and PTO for community volunteer programs
• • Paid parental leave
• • Wellness programs
• • Employee discounts (membership, insurance,