Customer Service Associate

Tailored Management is seeking a detail-oriented Claims Administrative Support Representative to provide administrative and customer service support for a busy claims operation. The role involves assisting with inbound customer calls, claims setup, mail processing, document review, and quality control activities while ensuring timely and accurate claims processing.

Responsibilities:

• Answer calls on a high-volume 800-number service line
• Process incoming mail and claim-related correspondence
• Enter new claims into the claims management system
• Review claim documentation and prepare files for examiner review
• Manage pending claim inventory and follow up on missing information
• Perform cycle checks (peer reviews) to ensure claim accuracy before payment. May process simple claims
• Maintain established quality, productivity, and service standards
• Handle confidential information in accordance with company guidelines

Requirements:

• High school diploma or equivalent required
• 0-3 years of customer service, administrative, or related experience
• Strong data entry and PC skills
• Excellent verbal and written communication skills
• Ability to manage multiple priorities and meet deadlines
• Strong organizational and attention-to-detail skills
• Ability to work with confidential information
• Flexibility to work overtime as needed
• Ability to work effectively under close supervision