Claims Customer Service Representative

Vaco is partnering with an established insurance organization in Atlanta, GA, to hire a Claims Customer Service Representative. This opportunity is ideal for a customer service professional with experience in healthcare, insurance, medical claims, or high-volume inbound calls. The Claims Customer Service Representative will be responsible for handling high-volume inbound calls from policyholders and providers, answering questions regarding insurance policies, benefits, coverage, and claims, and resolving issues with a focus on one-call resolution.

Additional responsibilities include assisting with claim submissions and reimbursement questions, explaining claims adjudication processes and policy details, maintaining accurate customer records, researching and escalating complex issues, and collaborating with internal teams to ensure a seamless customer experience. If you’re looking to join an established organization where you can make an immediate impact and build your career within the insurance and claims industry, apply today!

Requirements:
High school diploma or equivalent Experience handling high-volume inbound customer service calls Knowledge of healthcare claim adjudication processes Strong customer service skills with a focus on one-call resolution Excellent verbal and written communication skills Professional and clear communication style Strong problem-solving and attention-to-detail skills Ability to manage and prioritize multiple tasks in a high-volume environment Insurance, healthcare, or medical experience preferred Medical claims experience preferred Knowledge of Medicare Supplement insurance and CMS guidelines preferred Claims adjudication experience preferred Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.

With that said, as required by local law in geographies that require salary range disclosure, Vaco/Highspring notes the salary range for the role is noted in this job posting. The individual may also be eligible for discretionary bonuses, and can participate in medical, dental, and vision benefits as well as the company’s 401(k) retirement plan. By submitting to this position, you are agreeing to be included in our talent pool for future hiring for similarly qualified positions.

EEO Notice Vaco by Highspring is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race (including but not limited to traits historically associated with race such as hair texture and hair style), color, sex (includes pregnancy or related conditions), religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by federal, state or local law.

Vaco by Highspring and its parents, affiliates, and subsidiaries are committed to the full inclusion of all qualified individuals. As part of this commitment, Vaco by Highspring and its parents, affiliates, and subsidiaries will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact  .

Vaco by Highspring also wants all applicants to know their rights that workplace discrimination is illegal. Representation Notice By submitting to this position, you agree that you will be giving Vaco by Highspring the exclusive right to present your as a candidate for the foregoing employment opportunity. You further agree that you have represented information about yourself accurately and have not affirmatively misrepresented your qualifications.

You also agree to maintain as confidential, to the fullest extent permitted by law, any information you learn from Vaco by Highspring about the position and you will limit disclosure of information about the position only to the extent necessary to perform any obligations in furtherance of your application. In exchange, Vaco by Highspring agrees to exercise reasonable efforts to…