• Prompt and timely answering of incoming phone calls and returning calls to customers and agents
• Proper and accurate system documentation of all phone calls and correspondence
• Process and complete customer and agent requests
• Handle customer and agent issues and complaints with research, resolution, and follow-up
• Assist with various claims processing as needed
• Assist with miscellaneous department functions, projects, and assignments as directed
• Follow required department procedures and guidelines to ensure compliance with legal and insurance regulations

Required Skills

• Bilingual Spanish speaking skills required
• Must have a high level of quality focus on providing excellent customer service
• Critical problem solving, decision making, and organizational skills
• Excellent listening, verbal, communication, and writing skills
• Ability to efficiently handle a high volume of phone calls in a professional and positive manner
• Must be detail oriented, have ability to work well under pressure, and handle multiple tasks with deadlines
• Basic medical terminology helpful

Required Experience

• Must have a minimum of 2-5 years of business experience
• Previous experience in a Claims service environment preferred
• Previous Customer Service or Claims phone experience

• Bilingual Spanish speaking skills required
• Must have a high level of quality focus on providing excellent customer service
• Critical problem solving, decision making, and organizational skills
• Excellent listening, verbal, communication, and writing skills
• Ability to efficiently handle a high volume of phone calls in a professional and positive manner
• Must be detail oriented, have ability to work well under pressure, and handle multiple tasks with deadlines
• Basic medical terminology helpful