Claims Specialist

Related keywords: call center remote jobremote job qasalesforce remote job

Overview

Sonsio LLC is seeking a Claims Specialist to join their team. They offer a suite of vehicle protection plans that include Tire Road Hazard Protection, Appearance and Parts & Labor Warranties, as well as Mechanical Advisory services. The company has been a leader in the automotive industry since its inception in 1984, serving more than 74,000 dealerships, manufacturers, and service providers in the United States, Canada, and Puerto Rico. Sonsio's commitment to providing innovative and excellent customer service sets them apart in the marketplace.

Position Summary

The Claims Specialist (Level 1) will play a vital role in processing claims while maintaining high standards of customer service. Main responsibilities include managing the intake of new claims requests, adhering to company guidelines, and providing outstanding service to contract holders, dealers, and repair facilities. A strong attention to detail and the ability to juggle multiple tasks in a fast-paced environment are essential skills for this role. The overall objective of this position is to ensure that claims are managed efficiently while providing timely support to customers, all while aligning with company standards and compliance requirements.

Key Responsibilities

• Process standard claims accurately, adhering to Service Level Agreements (SLA).
• Maintain detailed documentation, including claim images and communication logs.
• Deliver high-quality customer service to both contract holders and repair facilities.
• Enter and update customer information, interactions, and case details in the appropriate CRM system.
• Collaborate with team members and departments to coordinate effective customer support and resolve claims issues.
• Achieve call, quality assurance (QA), and attendance metrics as defined by the company.
• Handle and resolve customer complaints professionally and in a timely manner.
• Maintain thorough knowledge of company products, services, policies, and procedures.

Performance Standards

• Process and complete claims within 7-10 days, ensuring compliance with company policies and regulatory requirements.
• Maintain a QA score of greater than 85% on the quarterly scorecard.
• Ensure audit errors remain below 2% and meet attendance standards set by the department.
• Achieve an adherence percentage of greater than 80%.

Position Requirements

Candidates applying for this role should possess:

• A minimum of 1-2 years of experience in customer service and/or claims processing, preferably in a call center environment.
• A High School Diploma is required; an Associate or Bachelor's degree is preferred.
• Proficiency in Salesforce and the Microsoft Office Suite (especially Outlook, Word, and Excel).
• Strong communication skills, both verbal and written, with the ability to convey complex information clearly.
• High accuracy and attention to detail in claims processing.
• Problem-solving skills to identify and resolve customer queries efficiently.
• Flexibility, adaptability to change, and a willingness to learn new systems quickly.
• Strong customer focus, empathy, and the ability to handle inquiries professionally.

Benefits and Compensation

The offered base pay for the Claims Specialist position is $18 to $19 per hour, depending on qualifications and experience. In addition to the hourly wage, the compensation package may also include commission, bonuses, or profit sharing. Sonsio LLC provides a competitive benefits package that encompasses:

• Paid time off
• Medical, dental, and vision insurance
• 401k matching (50% on the dollar up to 7% of employee contributions)
• Comprehensive employee benefits to promote work-life balance and overall wellbeing.

Company Culture and Values

At Sonsio, there is a strong belief in fostering a diverse and inclusive work environment. The company is dedicated to equal opportunity and does not discriminate on the basis of race, color, national origin, religion, gender, age, veteran status, political affiliation, sexual orientation, marital status, or disability. They highlight their drug-free work environment and require successful candidates to pass a pre-employment drug screening.

Conclusion

This is an exciting opportunity for individuals looking to advance their career in claims processing and customer service within the insurance industry. Sonsio LLC is keen to add hardworking, innovative, and team-oriented individuals to their growing organization. If you believe you have the skills and passion required for the Claims Specialist role, consider applying to join their reputable team.

This job offer was originally published on himalayas.app