Travel Claim Examiner and Customer Service Representative

One80 Intermediaries is part of a global insurance distribution platform, and they are seeking a Travel Claims & Customer Service Representative. This role serves as the first point of contact for reporting claims and is essential in delivering exceptional service to claimants by gathering information, assessing coverage eligibility, and communicating findings effectively.

Responsibilities:

• Independently process travel claims in accordance with associated policies
• Ability to read, analyze and interpret general business materials, technical procedures, benefit plans and regulations
• Handle incoming calls from and make outgoing calls to claimants and suppliers in a professional, positive, and proactive manner
• Consistently meet established performance standards, including quantity and quality claims processing standards
• Maintain current knowledge of Plans and effectively apply this knowledge to the payment of claims, customer service, and all other job functions
• Ability to function independently within established guidelines
• Maintain HIPAA compliance

Requirements:

• Independently process travel claims in accordance with associated policies
• Ability to read, analyze and interpret general business materials, technical procedures, benefit plans and regulations
• Handle incoming calls from and make outgoing calls to claimants and suppliers in a professional, positive, and proactive manner
• Consistently meet established performance standards, including quantity and quality claims processing standards
• Maintain current knowledge of Plans and effectively apply this knowledge to the payment of claims, customer service, and all other job functions
• Ability to function independently within established guidelines
• Maintain HIPAA compliance
• Effective time management skills
• 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