[Hiring] Claims Customer Service Representative @TEKsystems

Role Description

As a Remote Claims Customer Service Representative, you'll serve as a trusted resource for customers, employers, healthcare providers, and claimants by delivering exceptional support throughout the claims process.

If you're a strong communicator who enjoys solving problems, helping others, and working from the comfort of your home, we'd love to meet you.

Why You'll Love This Opportunity

• Fully Remote Work Environment
• Consistent Schedule & Work-Life Balance
• Meaningful Career Supporting Individuals During Important Life Events
• Collaborative, People-First Culture
• Opportunity to Grow Within Insurance & Claims Operations
• Comprehensive Training Provided

What You'll Do

As a Claims Customer Service Representative, you'll be the first point of contact for customers and business partners seeking assistance with disability, leave, life insurance, and claims-related inquiries.

Responsibilities Include:

• Answer incoming calls and emails from customers, employers, healthcare providers, and business partners.
• Assist with claim status inquiries, benefit information, required documentation, and next steps in the claims process.
• Accurately document customer interactions within internal systems.
• Research and resolve routine claim-related questions while ensuring a positive customer experience.
• Support claim processing by reviewing information for completeness and accuracy.
• Coordinate with Case Managers, Claims Specialists, and internal teams to address customer needs.
• Maintain service-level expectations and productivity goals.
• Handle confidential information with professionalism and discretion.
• Deliver empathetic, customer-focused support during sensitive situations.

What Makes You Successful

You're someone who:

• Enjoys helping people and solving problems.
• Communicates clearly and professionally.
• Stays organized while managing multiple priorities.
• Has strong attention to detail.
• Thrives in a remote environment with minimal supervision.
• Remains calm and compassionate during difficult conversations.
• Takes ownership of customer issues and follows through to resolution.

Qualifications

• High School Diploma or GED.
• 1+ year of customer service, administrative support, call center, healthcare, insurance, or financial services experience.
• Strong verbal and written communication skills.
• Proficiency with Microsoft Outlook, Word, and basic Excel.
• Ability to navigate multiple computer systems simultaneously.
• Reliable internet connection and dedicated home workspace.

Preferred Qualifications

• Insurance, disability, leave management, or claims experience.
• Healthcare or benefits administration experience.
• Experience in a high-volume call center environment.
• Bilingual skills are a plus.

Ideal Backgrounds

• Insurance Customer Service
• Claims Administration
• Healthcare Administration
• Medical Billing & Revenue Cycle
• Benefits Administration
• Member Services
• Patient Access
• Financial Services Support
• Remote Call Center Operations

Job Type & Location

This is a Contract to Hire position based out of Enfield, CT.

Pay and Benefits

The pay range for this position is $20.00 - $22.00/hr.

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Sep 30, 2026.