What are the responsibilities and job description for the Claims Processing Representative position at A Hiring Company?
The Claims Processing Representative is responsible for accurately and efficiently processing claims, verifying claim information, and ensuring alignment with warranty coverage. This role involves managing inbound calls from customers, dealerships, sales agents, and technicians while maintaining exceptional customer service standards.
Essential Functions
- Receive and process claims through inbound phone calls and online claim submission forms, ensuring all necessary information is captured accurately and promptly.
- Review and analyze claims against warranty terms and conditions, ensuring that all claims are processed in strict adherence to the company's policies and contractual guidelines.
- Evaluate and resolve claim discrepancies, investigate potential issues, escalate complex matters when necessary, and ensure clear and fair resolutions in line with warranty coverage.
- Build Trust through communicating professionally and clearly with customers, vendors, and internal teams to gather necessary information, provide claim updates, and answer questions regarding claim status or eligibility.
- Accurately document all claim activities, customer interactions, and resolutions in the system, ensuring a complete and detailed record for future reference and audits.
- Manage personal attendance and ensure availability during scheduled work hours. Adhere to shift schedules and promptly notify supervisors of any potential attendance issues.
- Provide exceptional customer service by maintaining a positive and empathetic attitude in all customer interactions, and handling issues in a timely and professional manner.
- Work closely with other departments (such as escalations, technical support, or B2B teams) to ensure the smooth processing and resolution of claims, collaborating on any discrepancies or issues that arise.
- Stay informed on company policies, warranty terms, and product offerings, ensuring claims are processed efficiently and in compliance with all updated standards.
- Be responsive by prioritizing daily workload, managing claim volume, and meeting processing deadlines while maintaining high accuracy and efficiency.
Compensation details: 16-16 Hourly Wage
