Receives and enters initial Notice of Loss information. Analyzes information and proofreads system entry for accuracy.
Education equivalent to graduation from high school and supplemental experience with the MS Office Suite including Excel & Word.
Must have a good understanding of TelePlus procedures and claim entry workflows.
Customer service experience or equivalent combination of education & experience including inbound call center experience preferred.
At least one year as a Contact Center Agent I or equivalent work experience.
Ability to work in a team environment and/or independently.
Ability to support multiple clients across various channels and utilizing multiple systems simultaneously in a fast-paced environment.
Good interpersonal skills.
PC literate, including Microsoft Office products.
Must be a competent typist.
Strong customer service skills.
Creates claim files by entering initial loss report information into claim intake application.
Consistently maintains a high level of customer satisfaction by demonstrating a helpful, considerate attitude, and a pro-active customer service approach.
Responds to routine inquiries and directs other inquiries to appropriate resources.
Educates claimants/callers on client requirements and benefit plans documenting all required details of the call in a concise professional manner.
Acts as primary liaison with callers; follows client specifications in assisting with questions and solving problems related to the claims application.
Educates and informs the customer across 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.
Assists in the mentoring and training of new employees.
Recommends new and/or improved procedures to enhance the customer experiences.
Maintains a favorable and positive working relationship with internal and external customers.
Directs customer calls to the appropriate contact at multiple locations or escalates to specialist as needed.
Participates in special projects and performs other duties as requested.
Attains 95% rating or higher for Report Quality and Customer Service.
Actively takes inbound calls for all three lines of business.