Customer Service Agent

2 months ago

Newcastle upon Tyne, United Kingdom DXC Technology Full time

Processes complex claims to ensure accurate and timely completion. Assists in the processing of highly complex claims under the oversight of a higher level examiner. Assists in negotiating claims settlements.

**Essential Job Functions**
- Conducts correspondence related to client requests for information.
- Evaluates available information to validate claims. Verifies policyholder information, policy effective dates, premium status and verification of claim eligibility.
- Identifies need for additional information; contacts appropriate source to obtain needed information. Verifies beneficiary or claimant information if claim is warranted. Identifies payment amount and obtains required management approvals for payment. Processes payment.
- Investigates moderate to highly complex claims and determines level or resolution if appropriate; advises claimant of status; assists in negotiating settlement and resolution of claim.
- Receives demand letters; researches and investigates claims, responds within individual parameters and escalates as appropriate.

**Basic Qualifications**
- High school diploma or G.E.D.
- Fellowship of Life Health Claims (FLHC) Certification preferred
- Four or more years of insurance/claims processing experience
- Experience working with insurance and/or medical terminology
- Experience working with appropriate claims processing procedures and documentation

**Other Qualifications**
- Good analytical and problem solving skills
- Good interpersonal skills to interact with team members
- Good communication skills to communicate with clients
- Good negotiation skills to interact with claimant
- Ability to keep sensitive and confidential material private
- Ability to work in a team environment

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