Travel Claim Examiner, Customer Service Representative

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One80 Intermediaries

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

✈️ Travel

🛡️ Insurance

Healthcare • Travel • Insurance

One80 Intermediaries is a highly specialized wholesale brokerage and program manager that provides innovative and comprehensive insurance solutions across the US and Canada. The firm offers market-leading access to major insurance markets in the US, UK, Canada, and Asia, with exclusive programs and in-house binding authority for a variety of insurance lines, including property & casualty, financial lines, personal lines, life insurance, medical stop loss risks, travel/accident and health, executive benefits, affinity business, and warranty coverage. Through its team of experts and numerous offices, One80 serves commercial companies, non-profits, public entities, associations, unions, and private individual risks. The company is known for its expertise, speed, and innovation in creating tailored insurance programs and specialty services for a wide range of industry segments.

📋 Description

• Independently process travel claims in accordance with associated policies • Read, analyze, and interpret business materials, technical procedures, benefit plans, and regulations • Handle incoming calls from and make outgoing calls to claimants and suppliers • Gather essential information and assess coverage eligibility • Communicate findings to claimants and provide professional customer service • Meet established quantity and quality claims-processing performance standards • Maintain current knowledge of Plans and apply it to claims payment and customer service • Maintain HIPAA compliance • Function independently within established guidelines

🎯 Requirements

• Effective time management skills • Ability to function independently within established guidelines • Excellent interpersonal, verbal, and written communication skills • Intermediate skill level in Microsoft Office programs • Problem/issue resolution capability • Ability to work effectively in a fast-paced team-based environment • Ability to read, analyze, and interpret business materials, technical procedures, benefit plans, and regulations • Ability to maintain HIPAA compliance