Travel Claims Examiner Customer Service Representative

One80 Intermediaries is part of a global insurance distribution platform offering specialized services in wholesale brokerage and specialty insurance. The Travel Claims & Customer Service Representative will be the first point of contact for claims, ensuring exceptional service and effective communication with claimants while processing claims according to established policies.

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