Claims Service Specialist

Summary

Specialist-level positions serve as experienced contributors within Centralized Business Services. Employees at this level independently manage complex transactions and service activities, apply advanced functional knowledge, resolve escalated issues, and support customers, agents, and business partners. Specialists exercise sound judgment, serve as a resource to team members, and contribute to process improvement initiatives while continuing to expand their expertise within CBS.

provides experienced expertise in claims services, enterprise mail operations, and document management while ensuring efficient and accurate service delivery.

• Process complex claims service transactions and service requests.
• Coordinate enterprise mail operations and document management activities.
• Resolve escalated operational issues using knowledge of systems, workflows, and procedures.
• Ensure accuracy, timeliness, and quality across transactions and workflows.
• Serve as a resource to team members and assist with onboarding and training activities.
• Identify opportunities to improve workflow efficiency and service delivery.
• Meet established quality, productivity, and service expectations.

Required Skills & Abilities

• Strong customer service and communication skills.
• Advanced knowledge of systems, workflows, and procedures.
• Ability to work independently and manage multiple priorities.
• Effective problem-solving and decision-making skills.
• Strong attention to detail and accuracy.
• Organizational and time management skills.
• Ability to collaborate effectively across teams.

Education &/ Or Experience

• High school diploma or GED required.
• 2+ years of relevant customer service, administrative, insurance, or operational experience preferred.
• Demonstrated ability to independently manage complex service interactions and transactions.
• Equivalent combinations of education, training, and experience will be considered.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, reach with hands and arms to operate computer keyboard, talk, and hear.

The employee is occasionally required to stand and walk. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus.