Service Center Representative- Blue Ash| Cincinnati, OH (In-Office ) 12pm -8pm or 3pm-11pm shift with rotating Saturdays 10am-6pm (Open)

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

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Service Center Representative- Blue Ash| Cincinnati, OH (In-Office ) 12pm -8pm or 3pm-11pm shift with rotating Saturdays 10am-6pm (Open)

Service Center Representative

Our teams thrive together! We collaborate onsite 5 days a week.
All candidates must live near our center of excellence:

Our Blue Ash Office: 4445 Lake Forest Drive Suites 400 and 275 Blue Ash, OH 45242-3739 (This position is **only** available in this office)

WORK SCHEDULE

Monday-Friday: 12:00pm to 8:00pm
Monday-Friday 3:00pm to 11:00pm

Rotating Saturdays: 10:00am to 6:00pm

✨ What we offer:

• A stable, consistent work environment—both in-office and virtual

• A comprehensive training program to help you support employees and customers from some of the world’s most respected brands

• A dedicated mentor and manager to guide you every step of your career journey

• Career development and promotional opportunities as you take on new responsibilities

• A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being

Your next big opportunity starts here—are you ready to join us?

PRIMARY PURPOSE: To provide excellent service to callers regarding claims for multiple lines of business; to expedite the claims application process and provide detailed claim notes on all calls; to resolve issues with one call/one person response; and to direct calls to appropriate escalation path as needed.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Acts as primary liaison with callers; follows client specifications in assisting with questions and solving problems related to the claims application and servicing processes.

• Educates and informs the customer via multiple communication channels about documentation required to process a claim, required time frames, payment information, and claim status.

• Educates claimants/callers on client requirements and benefit plans documenting all required details of the call in a concise professional manner.

• Enters verbal and written application information that meets both the internal and external customer’s requirements accurately into the claims management system.

• Assigns new claims to the appropriate claims handler.

• Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist/management as needed.

• Attendance during scheduled work hours is required.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.

• Supports the organization's quality program(s).

QUALIFICATIONS

Education & Licensing
High school diploma or GED required. College courses preferred

Experience
One (1) year customer service experience or equivalent combination of education and experience required. Inbound call center experience preferred.

Skills & Knowledge

• Knowledge of medical terminology

• Understanding of claims management

• Excellent oral and written communication skills

• PC literate, including Microsoft Office products

• Strong organizational skills

• Good interpersonal skills

• Ability to multi task in fast paced environment

• Ability to support multiple clients across communication channels and utilize multiple systems simultaneously

• Ability to work in a team environment and/or independently

• Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: 

Clear and conceptual thinking ability; exc