FOCUS is a company that provides cloud-based administration solutions for P&C insurance companies. They are seeking a Customer Service- Commercial Lines (P&C) professional who will provide high-quality service to insureds and agents while managing various servicing functions for workers’ compensation accounts.
Responsibilities:
- Receive and manage a high volume of incoming calls, emails, chats, and service tasks related to workers’ compensation policies, including:
- Policy document and endorsement requests
- Complex billing inquiries and audit-related questions
- Renewal reviews and policy status updates
- Claims inquiries by directing customers to the appropriate claims resources and adjuster contacts
- Cancellation and reinstatement inquiries
- Communicate professionally and effectively with insureds, agents, and underwriting partners to:
- Confirm renewal processing and binding status
- Provide timely billing, audit, and service request updates
- Review potential cancellations and explain policy status
- Address general workers’ compensation coverage questions within authority
- Support agents by preparing policy documentation, coordinating service requests, and managing service needs for both voluntary and assigned risk policies, ensuring a consistent, high-quality customer and agent experience
- Process and manage workers’ compensation policies, including new business, renewals, voluntary, and assigned risk accounts, ensuring accuracy, completeness, and timely delivery to policyholders and agents
- Review policy information for correctness, including payroll, classifications, billing setup, and endorsements, and resolve discrepancies as needed
- Maintain thorough and compliant documentation of all servicing activity, ensuring clear audit trails and adherence to regulatory and service standards
- Proactively follow up on outstanding items, coordinating across teams as needed to ensure all service requests are resolved within established timelines while effectively managing multiple priorities
- Ensure all workers’ compensation servicing activities (including voluntary and assigned risk policies) are completed in accordance with regulatory requirements, carrier guidelines, and internal service standards
- Maintain high quality and accuracy across calls, chats, emails, and task processing while effectively multi-tasking and prioritizing competing requests
- Identify trends, recurring issues, or process gaps and escalate appropriately to support continuous improvement
- Actively participate in training, updates, and cross-functional collaboration to remain current on product knowledge, billing practices, audits, and service expectations
- Assist callers with claims-related inquiries by providing adjuster contact information and directing them to available resources for claim status and bill payment
- Document claim-related inquiries and guidance provided, ensuring accurate records and timely communication as needed
Requirements:
- 3–5 years of progressive experience within the workers' compensation insurance industry
- Prior call center and or high-volume customer service experience is a plus
- Experience handling customer inquiries via chat, providing timely, accurate, and professional responses while maintaining engagement and service quality
- Must have Commercial Lines experience
- Proficient in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
- Experience with management systems such as ImageRight or similar platforms
- Ability to operate office equipment: scanners, copiers, fax machines, calculators
- Accountability: Owns outcomes and meets expectations with integrity
- Client Service Orientation: Acts promptly and professionally to resolve client needs and improve satisfaction
- Communication: Communicates clearly in verbal and written formats
- Problem Solving: Gathers relevant information and proposes practical, timely solutions
- Technical Acumen: Understands and applies technical knowledge of P&C insurance in client-facing discussions
- Sales Insight: Applies consultative selling and identifies opportunities to offer additional value
- Organization: Manages multiple priorities in a fast-paced environment while meeting deadlines
- Professionalism: Exhibits respect, tact, and accountability under pressure
- Team Support: Fosters collaboration and assists team members as needed
- Bilingual (English/Spanish) preferred