Barbett Anderson Morris

• This job is responsible for processing Risk Referral Issues, researching fraud indicators, updating Black/White Fraud lists, and collaborating with colleagues regarding fraud detection topics.
• 70% Research and process daily Risk Referral Issues, SIU Reviews, Suspected Fraud Referrals and call backs as needed- Research and respond to inquiries from internal clients; document claim files as needed to ensure accurate and timely communication with the end customers.
• 10% Assists in identifying risk, fraud and compliance issues and participate in implementing tools and processes to minimize or eliminate these issues. -Recognizes consistent problem areas and reports to higher level for action. Perform specialized functions related to Fraud detection and prevention.
• 10% Follow standard reporting procedures and policies driven by the Risk Management team to ensure compliance with all necessary Reporting Requirements.
• 10% Participates in regularly scheduled meetings/calls with Operations Management - Team designed to obtain feedback on the performance of the team and business, and to provide an opportunity to implement any necessary procedural or systematic changes. Provides fraud detection guidance to other team members as needed.

• The Claims Associate is responsible for processing and administering insurance claims. They must review a variety of documents and claims forms, as well as investigate and assess the accuracy of claims. The Claims Associate must be detail-oriented and able to work with a variety of people.
• Claims associates control claims for insurance companies. Their job duties include determining a customer's insurance coverage and evaluating those who have filed a claim. Also, they must make sure that a claim is analyzed correctly for the clients to receive their entitled financial settlement.
• What will be my duties and responsibilities in this job
• Assess and resolve insurance claims
• Support with admin activates on email
• What are the requirements needed for this position
• Fluent German speaking at an advanced level
• Excellent verbal, written, and listening skills
• Basic computer skills, including data entry, website navigation, and other software
• What are the working conditions and physical requirements of this job
• General office demands
• Provided exceptional customer support, resolving inquiries and issues efficiently.
• Facilitated customer inquiries and resolved issues through effective communication and problem-solving techniques.

- Answer over 50 incoming calls from policyholders and internal company areas in the United States.

Assist customers with questions and concerns regarding claims status and processing.

Expedite escalated issues by doing extensive research to ensure customer and client satisfaction.

- Assist our clients by answering questions about coverage, payments, and various administrative processes.

- Resolve customer questions or refer them to other areas when necessary to provide excellent service.

- Maintain relationships with our clients by providing quality service.

• Resolved customer inquiries via phone and email, ensuring timely and accurate responses.