Customer Service Claims Representative

Work Arrangement: Remote (Eastern or Central Time Zone Preferred)
Training Start Date: Monday, August 17, 2026

Location Requirements:

• Candidates must reside in the Eastern or Central Time Zone.
• Candidates located in California or New York are not eligible.
• Weekend availability is required.

Training Schedule

• Duration: 2 Weeks
• Schedule: Monday – Friday
• Hours: 8:00 AM – 5:00 PM EST

Work Schedule After Training

Hours of Operation: 10:00 AM – 8:00 PM EST, 7 days per week

• 5-day workweek
• One scheduled weekend day required
• One weekday off
• 8-hour shifts with a 30-minute lunch

Possible Shift Options

• 10:00 AM – 6:30 PM EST
• 10:30 AM – 7:00 PM EST
• 11:00 AM – 7:30 PM EST
• 11:30 AM – 8:00 PM EST

Position Overview

The Customer Service Claims Representative serves as the first point of contact in the claims process by assisting customers, assigning claims to the appropriate claims professionals, and ensuring accurate claim information is entered into the claims management system. This role delivers exceptional customer service while helping customers navigate the claims process efficiently and professionally.

Key Responsibilities

Claims Processing

• Assign new claims to the appropriate claims handler.
• Accurately enter verbal and written claim information into the claims management system.
• Ensure all claim information meets internal and external customer requirements.
• Maintain accurate documentation throughout the claims process.

Customer Service

• Communicate with customers via telephone, written correspondence, and claims management systems.
• Request required documentation needed to process claims.
• Provide claim status updates and explain required timelines.
• Answer customer questions regarding the claims process.
• Serve as a liaison to connect customers with the appropriate claims personnel.

Team Support

• Maintain a high-quality customer service culture.
• Participate in departmental quality initiatives.
• Support organizational quality programs.
• Perform additional duties as assigned.
• Maintain consistent attendance during scheduled work hours.

Qualifications

Education

• High School Diploma or GED required.

Experience

• Minimum of one year of customer service or clerical experience preferred.
• Equivalent combination of education and experience will be considered.

Required Skills

• Excellent verbal and written communication skills.
• Strong customer service and interpersonal skills.
• Proficiency with Microsoft Office applications.
• Strong organizational and multitasking abilities.
• Ability to prioritize work in a fast-paced environment.
• Ability to work effectively in a team setting.
• Ability to meet or exceed performance expectations.

Work Environment

Remote Work Requirements

• Company equipment will be provided, including:
  • Desktop computer
  • Monitors
  • Keyboard
  • Mouse
  • Headset
• Candidates may need to use a personal computer during the first few days of training until company equipment arrives.
• High-speed broadband internet is required.
• Company equipment must be connected directly to the home router using an Ethernet cable.
• Wi-Fi connections are not permitted for company equipment.