Customer Service Representative-Customer Care Non-Voice-Back-End/Non Voice Transaction Processing Complex

As a claims adjudicator, you will be responsible for identifying, investigating, and evaluating critical information to accurately adjudicate claims. You will communicate with customers to explain claim filing requirements and handle inquiries across multiple product lines.�

Your role includes documenting calls, completing follow-up work, and identifying potential risks such as fraud. You will analyze incoming documents to determine claim eligibility, calculate benefit amounts, and approve payments. Additionally, you will resolve claims adjudication issues, manage calls with various stakeholders, ensure accurate tax reporting, and maintain detailed claim files. Your responsibilities also include maintaining claim inventories within guidelines, processing death claims for life or annuity contracts, and meeting performance targets. Strong analytical skills, attention to detail, and effective communication are essential. You will work harmoniously within a team, handle multiple computer systems, and perform mathematical calculations. The position requires availability for an 8hour shift between 8am to 8pm and offers the flexibility to work from home.

Bachelor�s Degree preferred, High School Diploma or GED or equivalent experience in financial institution operations, customer service, and/or annuity service operations Candidate preferred with transaction processing work experience in a similar environment in an Insurance process. However, candidate with no experience may be considered for the job.