By joining Sedgwick, youll 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.
Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance
Service Center Representative - Bartlesville, OK ON-SITEReady to make an impact? Join us at one of our vibrant Centers of Excellence!
Location: Bartlesville, OK - 117 W 5th St., 3rd Floor (corner of 5th and Keeler)
Why you'll love being part of our team:
• Join a respected, rapidly growing insurance organization • Make a real difference by guiding people through life's most important moments • Build your expertise in insurance operations and customer service • Thrive in a supportive, team-focused environment with clear paths for growth and advancement
If you're ready to bring empathy, efficiency, and expertise to every interaction, we can't wait to welcome you aboard!
PRIMARY PURPOSE: Step into a vital role at the heart of the insurance claims process. As a Customer Experience Specialist, you'll be the first point of contact for policyholders during some of their most important moments. Your mission is to provide clear, compassionate, and knowledgeable support-ensuring every caller feels heard, informed, and confident in the process.
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 AND SCHEDULE
Attendance during scheduled work hours is required.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
Performs other duties as assigned.
Supports the organizations quality program(s).
QUALIFICATIONS
Education & Licensing
High school diploma or GED required. College courses preferred
Experience
At least one year of customer service experience (insurance or call center experience preferred)
Skills & Knowledge
Knowledge of medical terminology
Understanding of claims management
Strong communication skills with the ability to explain complex information clearly
Proficiency with Microsoft Office and the ability to navigate multiple systems simultaneously
Strong organizational skills
Familiarity with insurance terminology and claims processes
WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If youre excited about this role but your experience doesnt align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
Sedgwick Claims Management Services, Inc., is a leading global provider of technology-enabled risk and benefits solutions. At Sedgwick, caring countsSM; the company takes care of people and organizations by delivering cost-effective claims, productivity, managed care, risk consulting and other services through the dedication and expertise of nearly 15,000 colleagues in some 275 offices located in the U.S., Canada, the U.K and Ireland. Sedgwick facilitates financial and personal health and helps customers and consumers navigate complexity by designing and implementing customized programs based on proven practices and advanced technology that exceed expectations. Sedgwick’s majority shareholder is KKR; Stone Point Capital LLC, La Caisse de dépôt et placement du Québec (CDPQ) and other management investors are minority shareholders.