Claims Customer Service Representative

Vaco is partnering with an established insurance organization in Atlanta, GA, to hire a Claims Customer Service Representative. This opportunity is ideal for a customer service professional with experience in healthcare, insurance, medical claims, or high-volume inbound calls. The Claims Customer Service Representative will be responsible for handling high-volume inbound calls from policyholders and providers, answering questions regarding insurance policies, benefits, coverage, and claims, and resolving issues with a focus on one-call resolution. Additional responsibilities include assisting with claim submissions and reimbursement questions, explaining claims adjudication processes and policy details, maintaining accurate customer records, researching and escalating complex issues, and collaborating with internal teams to ensure a seamless customer experience. If you're looking to join an established organization where you can make an immediate impact and build your career within the insurance and claims industry, apply today! Requirements: High school diploma or equivalent Experience handling high-volume inbound customer service calls Knowledge of healthcare claim adjudication processes Strong customer service skills with a focus on one-call resolution Excellent verbal and written communication skills Professional and clear communication style Strong problem-solving and attention-to-detail skills Ability to manage and prioritize multiple tasks in a high-volume environment Insurance, healthcare, or medical experience preferred Medical claims experience preferred Knowledge of Medicare Supplement insurance and CMS guidelines preferred Claims adjudication experience preferred Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual's skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs. With that said, as required by local law in geographies that require salary range disclosure, Vaco/Highspring notes the salary range for the role is noted in this job posting. The individual may also be eligible for discretionary bonuses, and can participate in medical, dental, and vision benefits as well as the company's 401(k) retirement plan. By submitting to this position, you are agreeing to be included in our talent pool for future hiring for similarly qualified positions. Desired Skills and Experience igh school diploma or equivalent Experience handling high-volume inbound customer service calls Knowledge of healthcare claim adjudication processes Strong customer service skills with a focus on one-call resolution Excellent verbal and written communication skills Professional and clear communication style Strong problem-solving and attention-to-detail skills Ability to manage and prioritize multiple tasks in a high-volume environment Insurance, healthcare, or medical experience preferred Medical claims experience preferred Knowledge of Medicare Supplement insurance and CMS guidelines preferred Claims adjudication experience preferred Equal Opportunity Notice Highspring LLC (d/b/a Vaco by Highspring) and its parents, affiliates, and subsidiaries ("we," "our," or "Vaco by Highspring") are committed to the full inclusion of all qualified individuals and does not discriminate against any employee or applicant for employment because of race (including but not limited to traits historically associated with race such as hair texture and hair style), color, sex (includes pregnancy or related conditions), religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by applicable law. The company is also committed to ensuring that persons who need them are provided with reasonable accommodations; if an accommodation is needed to participate in the job application or interview process, please contact HR@vaco.com . Vaco by Highspring also wants all applicants to know their rights that workplace discrimination is illegal . Representation Notice By submitting to this position, you agree that you will be giving Vaco by Highspring the exclusive right to present your as a candidate for the foregoing employment opportunity. Additionally, you agree to be included in our talent pool for future hiring for similarly qualified positions. You further agree that you have represented information about yourself accurately and have not affirmatively misrepresented your qualifications. Lastly, you agree to maintain as confidential, to the fullest extent permitted by law, any information you learn from Vaco by Highspring about the position and you will limit disclosure of information about the position only to the extent necessary to perform any obligations in furtherance of your application. In exchange, Vaco by Highspring agrees to exercise reasonable efforts to represent you through all solicitation, job screening and resume dispersal. For residents of Ontario, Canada only: to the extent the position for employment is not with Highspring or not otherwise noted as vacant above, candidate should be informed that this role is to replace a presently employed person at Vaco by Highspring's client. Privacy Notice Vaco by Highspring respects your privacy and are committed to providing transparent notice of our policies. California residents may access Vaco by Highspring HR Notice at Collection for California Applicants and Employees here . Virginia residents may access our state specific policies here . Residents of all other states may access our policies here . Canadian residents may access our policies in English here and in French here . Residents of countries governed by GDPR and UK GDPR may access our policies here . Additionally, submissions to this position are subject to the use of AI to perform preliminary candidate screenings, focused on ensuring minimum job requirements noted in the position are satisfied. More details about Vaco by Highspring's use of AI can be found here ( https://www.highspring.com/ai-use-notices/ ). Further assessment of candidates beyond this initial phase will be conducted by recruiters and hiring managers. Vaco by Highspring does not know and cannot opine on if its client's use of AI products in hiring. Pay Transparency Notice Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: • the individual's skill sets, experience and training; • licensure and certification requirements; • office location and other geographic considerations; and • other business and organizational needs. With that said, as required by local law, Vaco by Highspring believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure. The individual may also be eligible for discretionary bonuses and/or participation in medical, dental, and vision benefits as well as the company's retirement plan (or similar retirement benefits).