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Customer Service Representative - Customer Care Non-Voice Back-End Transaction Processing Complex
About the role
Customer Service Representative – Customer Care Non‑Voice Back‑End Transaction Processing Complex. This role functions as a claims adjudicator, reviewing and evaluating claim submissions to ensure accuracy and compliance. The representative communicates with customers to explain filing requirements and address inquiries across multiple product lines. Key responsibilities include documenting calls, completing follow‑up tasks, identifying potential fraud risks, analyzing documents for eligibility, calculating benefit amounts, and approving payments. The position also resolves adjudication issues, manages stakeholder interactions, ensures accurate tax reporting, and maintains detailed claim files and inventories. Candidates must process death claims for life or annuity contracts and meet performance targets while demonstrating strong analytical skills, attention to detail, and effective communication. The role requires working within a team, handling multiple computer systems, performing mathematical calculations, and maintaining an 8‑hour shift from 8 am to 8 pm with flexibility to work from home.
What you’ll do
- Document calls and complete follow‑up work
- Identify potential fraud risks
- Analyze documents for claim eligibility
- Calculate benefit amounts and approve payments
- Resolve adjudication issues and manage stakeholder calls
- Ensure accurate tax reporting and maintain claim files
- Maintain claim inventories and process death claims
- Meet performance targets with strong analytical skills
- Communicate effectively and work harmoniously in a team
- Handle multiple computer systems and perform calculations
- Work an 8‑hour shift 8 am‑8 pm with flexibility to work from home
What you’ll bring
- Bachelor’s Degree preferred
- High School Diploma or GED
- Experience in financial institution operations
- Customer service experience
- Annuity service operations experience
- Transaction processing experience
Skills
Education
Bachelor's Degree