76 customer service representative ii jobs found

ABOUT HUB: In a rapidly changing world, HUB advises businesses and individuals on how to prepare for the unexpected. As one of the worlds' largest insurance brokers, our focus is dedicated to providing our customers with the peace of mind that what matters most will be protected-through unrelenting advocacy and tailored insurance solutions that put our clients in control. Our growing team of professionals across North America represents a broad, deep and one-of -a kind aggregation of entrepreneurs and leaders recognized for their excellence throughout the insurance community. THE OPPORTUNITY: The Account Manager   I I   manages a   more complex   or specialized   book of insurance business, and provides professional, courteous service to clients, carrier representatives, underwriters, business partners, and HUB colleagues. They may work independently, as part of a team or with a Producer to provide client advocacy, client retention, write new client accounts...

ABOUT HUB: In a rapidly changing world, HUB advises businesses and individuals on how to prepare for the unexpected. As one of the worlds' largest insurance brokers, our focus is dedicated to providing our customers with the peace of mind that what matters most will be protected-through unrelenting advocacy and tailored insurance solutions that put our clients in control. Our growing team of professionals across North America represents a broad, deep and one-of -a kind aggregation of entrepreneurs and leaders recognized for their excellence throughout the insurance community. THE OPPORTUNITY: The Senior Account Manager will   demonstrate   the ability to handle   specialized and most complex   books of business   and   insurance service tasks. Will   demonstrate   leadership skills and serve as an expert resource and/or role model for less-experienced co-workers. Effective personal interactions are necessary to contribute positively to the team.   While...

ABOUT HUB: In a rapidly changing world, HUB advises businesses and individuals on how to prepare for the unexpected. As one of the worlds' largest insurance brokers, our focus is dedicated to providing our customers with the peace of mind that what matters most will be protected-through unrelenting advocacy and tailored insurance solutions that put our clients in control. Our growing team of professionals across North America represents a broad, deep and one-of -a kind aggregation of entrepreneurs and leaders recognized for their excellence throughout the insurance community. THE OPPORTUNITY: The Account Manager     manages   a book of insurance business, and provides professional, courteous service to clients, carrier representatives, underwriters, business partners, and HUB colleagues. They may work independently, as part of a team or with a Producer to provide client advocacy, client retention, write new client accounts or lines of coverage as needed....

The Subrogation Representative is responsible for analyzing and conducting investigation of all assigned files for recovery and resolution of subrogation claims utilizing effective negotiation skills of liability and damage disputes. Hours: Monday to Friday 8:15AM- 4:30PM (Hours can vary depending on start time). This position requires you to work out of our West Trenton, NJ office . This role is hybrid working 3 days in office and 2 days from home once training is completed. Salary: The level and salary is commensurate with direct experience and credentials.  Level I - $51,120 - $59,331 annually based on experience  Level II - $58,737 - $74,031 annually based on experience Essential Duties and Responsibilities: Receive and process subrogation claims, seeking recoveries from adverse parties and/or their insurance carriers. Thoroughly review, evaluate and investigate subrogation claims to obtain necessary information for prompt resolution. Negotiate...

It’s a great time to join AAA The Auto Club Group!   JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   This is a six-month temporary work assignment. Successful candidates may have conversion opportunities into a full-time position depending on performance and position availability. Temporary Subrogation Claim Representative II - AAA Auto Club Group Reports to: Claim Manager as appropriate                                     What you will do: Work under normal supervision with an intermediate-level approval authority to handle moderately complex claims within Claim Handling Standards in the field or inside units.  Resolve coverage questions, take statements and establish clear evaluation and resolution plans for claims. Claim handling responsibilities will include the following: reviewing assigned claims, contacting the insured and other affected...

Summary The Service Center Representative II evaluates and classifies insurance applications, accepts or rejects applications, provides risk management advice and information, determines final premiums for insurance accounts, and provides timely and courteous customer service.   Why Jewelers Mutual Since 1913 we’ve been committed to supporting the Jewelry industry and putting customers at the center of everything we do. With over a century of trusted expertise, we’re financially strong, forward-thinking, and driven by curiosity. Guided by our core values of Agility, Accountability, and Relevancy, we lead through innovation. As a technology focused organization, we embrace cutting-edge tools and data-driven insights to continuously improve our products, services, and customer experience. Our mission is to be the industry’s most trusted advisor by investing in our people, adopting new technologies, and striving for excellence. What You'll Do...

ABOUT HUB: In a rapidly changing world, HUB advises businesses and individuals on how to prepare for the unexpected. As one of the worlds' largest insurance brokers, our focus is dedicated to providing our customers with the peace of mind that what matters most will be protected-through unrelenting advocacy and tailored insurance solutions that put our clients in control. Our growing team of professionals across North America represents a broad, deep and one-of -a kind aggregation of entrepreneurs and leaders recognized for their excellence throughout the insurance community. THE OPPORTUNITY: The Account Manager   I   manages   a book of insurance business, and provides professional, courteous service to clients, carrier representatives, underwriters, business partners, and HUB colleagues. They may work independently, as part of a team or with a Producer to provide client advocacy, client retention, write new client accounts or lines of coverage as needed....

Our General Claims department in Parsippany, NJ is looking for a Property Damage Representative candidate who has excellent communication skills as well as strong organizational and time management skills.  We are looking for talent with and without prior experience in the insurance industry. Hours: Monday through Friday, 8:45 a.m. to 5:00 p.m. with work from home opportunities after training is complete. Salary: The level and salary is commensurate with direct experience and credentials.  Level I - $51,120.55 - $67,542.80 annually based on experience  Level II - $58,737.25 - $89,324.95 annually based on experience  Sr. Level - $77,698.40 - $102,805.30 annually based on experience Responsibilities Appropriately handle, settle and close property damage (automobile) claims by bringing a prompt and amicable resolution Verify coverage, open claims, contact parties involved Verify and investigate information presented by first and third party...

SUMMARY: (Brief 3-5 sentence paragraph outlining the main purpose of the job)     The Medical Only Claims Specialist I is an entry level claims role. The incumbent is expected to be proficient with the Claims unit, policies, processes, procedures, and terminology.      The Medical Only Claims Specialist II is an experienced level claims role. The incumbent is expected to perform at a high level with minimum supervision.     Primarily responsible for the investigation and management of workers’ compensation claims. Conducts a 1 to 3-point contact on the managed claims, which is dependent on either the facts of the case or the claim type; determines compensability of claims, manages the medical treatment program, and assists in the return-to-work process. This includes calling and discussing potential claim activity and work-related injuries with policyholders, claimants, providers, attorneys, agents, and state agencies....

ABOUT HUB: In a rapidly changing world, HUB advises businesses and individuals on how to prepare for the unexpected. As one of the worlds' largest insurance brokers, our focus is dedicated to providing our customers with the peace of mind that what matters most will be protected-through unrelenting advocacy and tailored insurance solutions that put our clients in control. Our growing team of professionals across North America represents a broad, deep and one-of -a kind aggregation of entrepreneurs and leaders recognized for their excellence throughout the insurance community. THE OPPORTUNITY: The Account Manager   manages a   more complex   or specialized   book of insurance business, and provides professional, courteous service to clients, carrier representatives, underwriters, business partners, and HUB colleagues. They may work independently, as part of a team or with a Producer to provide client advocacy, client retention, write new client accounts or...

The Account Manager is responsible for interacting with customers on an executive level and acting as an extension of the client; understanding and communicating agreed upon expectations to field offices and increasing the market share of business by providing service that meets and exceeds customer expectations, stewardship reporting, commitment to customer goals, and introducing/selling/implementing additional services.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provide consultative customer services for one or more new or established accounts Introduce new services independently or with assistance as needed Handle local or regional accounts Manage accounts with revenue in one region and a minimum revenue amount of $1m per account with a combined revenue for all accounts of over $3m. Revenue growth with existing accounts Accounts Receivable - Responsible for all aspects of collections in conjunction with the respective operations management Client...

Job Title: Data Engineer II FLSA Status: Exempt Job Family: IT - Business Intelligence Department: IT - Business Intelligence  Location: Corporate Office (Fort Wayne, IN)   JOB SUMMARY Responsible for designing, building, and supporting enterprise data pipelines and platforms that facilitate analytics, regulatory reporting, and business intelligence throughout Brotherhood Mutual. Requires demonstrating expertise across all phases of development, from acquiring data from source systems to timely loading of enterprise data stores for analytic, regulatory, and reporting purposes. POSITION ESSENTIAL FUNCTIONS AND RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Design, develop, and maintain ETL/ELT processes for both on-premises and cloud-based data platforms, ensuring alignment with...

The Appeals Representative is responsible for reviewing, analyzing, and addressing provider inquiries and appeals via email, fax, telephone, or written correspondence in accordance with regulatory guidelines, client policy and instructions, and industry standards, along with CMS and state guidelines. This role ensures that all appeals are set up accurately and in a timely manner, supporting the appeal process efficiently.    ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receiving and analyzing appeal documentation to determine appropriate actions Accurately setting up and initiating the appeals process timely, ensuring information aligns with provided documents Ensure compliance with HIPAA, CMS guidelines, and client instructions and policy standards Utilize applicable tools and resources to complete setup Additional duties as assigned   KNOWLEDGE & SKILLS: Knowledge of Medicare, Medicaid, and commercial insurance guidelines Strong attention to...

The Appeals Representative is responsible for reviewing, analyzing, and addressing provider inquiries and appeals via email, fax, telephone, or written correspondence in accordance with regulatory guidelines, client policy and instructions, and industry standards, along with CMS and state guidelines. This role ensures that all appeals are set up accurately and in a timely manner, supporting the appeal process efficiently.    ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receiving and analyzing appeal documentation to determine appropriate actions Accurately setting up and initiating the appeals process timely, ensuring information aligns with provided documents Ensure compliance with HIPAA, CMS guidelines, and client instructions and policy standards Utilize applicable tools and resources to complete setup Additional duties as assigned   KNOWLEDGE & SKILLS: Knowledge of Medicare, Medicaid, and commercial insurance guidelines Strong attention to...

CopperPoint has an exciting opportunity for a Premium Field Auditor II. In this role, you will conduct medium- to large-complexity physical and virtual Workers’ Compensation and General Liability audits across several states, primarily in Washington State. Responsibilities include applying strong knowledge of USL&H rules, as well as Inland Marine and Garage Liability coverages, while working directly with policyholders to complete original and disputed final audits. The Premium Field Auditor II ensures all audit information is accurate, compliant with state regulatory requirements, and aligned with company policies and industry standards while delivering exceptional customer service and maintaining strong professional relationships.   Job responsibilities: Independently conduct final audit of the business operations of the policyholder through review of all applicable records and interview with owner, corp. officer or authorized representative. Conduct...

SUMMARY: (Brief 3-5 sentence paragraph outlining the main purpose of the job)   Primarily responsible for evaluation, approval, completion and processing of mail audits and reviewing phone audits in a multi-functional business unit.  Provides direct customer service via phone, fax, and e-mail to internal and external customers including, but not limited to; Business Development Consultants and assigned risk representatives, finance, TPA representatives, and other premium audit staff, as well as agents, attorneys, NCCI / regulatory bureaus, and policyholders. Respond to telephone, mail, or email inquiries providing direct customer service to internal and external customers related to an audit and other policy concerns.     ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.   Analyze, research, approve, complete and process mail audits.   Analyze, research, approve, complete and...

The Knowledge Center Representative provides administrative customer service assistance to claimants, providers, and other interested parties by receiving and answering telephonic inquiries. Utilizing proprietary systems and training knowledge, this role delivers high quality inbound and outbound customer service with a focus on accuracy, professionalism, and first call resolution.   This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Delivers friendly, efficient customer service in a high-volume environment Accurately captures and enters data into CareMC and other internal systems Demonstrates active listening and communicates clearly to confirm understanding Promotes future use of self-help tools when applicable Maintains consistent attendance and meets quality and productivity standards Additional duties as assigned   KNOWLEDGE & SKILLS: Effective verbal and written communication with...

It’s a great time to join AAA The Auto Club Group!   JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   ****This position is currently able to work remotely from a home office location for day-to-day operations, “ TRAVELING TO FIELD LOCATIONS AS NECESSARY TO COMPLETE JOB RESPONSIBILITIES",  unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy. Field Auto Appraiser (NW Twin Cities Minnesota Territory)– The Auto Club Group Reports to: Claim Manager II What you will do: (Primary Duties & Responsibilities) Work under minimal supervision with a high-level authority to handle complex technical issues and complex claims.  Claim handling responsibilities will include the following: reviewing...

It’s a great time to join AAA The Auto Club Group!   JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   Eligible candidates for this position must reside within the state of Michigan for consideration. Fremont Michigan Property Desk Claim Representative II - AAA The Auto Club Group Reports to: Claim Manager as appropriate What you will do: Work under normal supervision with an intermediate-level approval authority to handle moderately complex claims within Claim Handling Standards in the field or inside units, resolve coverage questions, take statements, and establish clear evaluation and resolution plans for claims. Review assigned claims, contact the insured and other affected parties, set expectations for the remainder of the claim, and initiate documentation in the claim handling system. Complete coverage analysis including a review of policy...

SUMMARY Medical Bill Review Specialist I Primarily responsible for analyzing bills for multi-state Workers Compensation medical claims to determine appropriateness of services billed. Responsible for analyzing simple billings by utilizing our Medical Bill Review (MBR) software to determine appropriateness of codes. Responsible for making bill review processing determinations according to rules, regulations, and/or third-party partners. Medical Bill Review Specialist II Primarily responsible for performing technical review of more complex medical bills, including modifiers, anesthesia, & psychiatric. Responsible for analyzing billings including outpatient hospital and multiple surgeries by utilizing our Medical Bill Review (MBR) software to determine appropriateness of codes and excessive charges. Also responsible for analyzing assigned medical bills to determine compliance with business rules, client specific requirements and multiple state rules, regulations and...