Customer Service Claims Representative (Remote - Central/Eastern Time

Job Description

Job Description

Customer Service Claims Representative (Remote – Central/Eastern Time Zone Only)

Location: Remote (Preference for Central or Eastern Time Zone)
Employment Type: Full-time (40 hours/week)
Pay Rate: $15/hr W2
Shift Availability: One weekend day required
Training Schedule: Monday–Friday, 8:00 AM – 4:30 PM EST
Live Shifts (post-training):

· 10:00 AM – 6:30 PM EST

· 10:30 AM – 7:00 PM EST

· 11:00 AM – 7:30 PM EST

· 11:30 AM – 8:00 PM EST

Primary Purpose

The Customer Service Claims Representative is responsible for expediting the claims intake process, ensuring accurate case assignments, and providing front-line support for customers. This role involves acting as a liaison between customers and internal teams to facilitate timely and effective claim resolutions.

Key Responsibilities

• Assign incoming claims to the appropriate claims handlers.
• Accurately enter verbal and written application details into the claims management system.
• Communicate with customers via phone and written correspondence regarding documentation, processing timelines, and claim status.
• Deliver clear, professional support throughout the claims process.
• Maintain a high standard of quality and customer service as part of the Customer Service Team.
• Attend scheduled shifts consistently and punctually.

Additional Responsibilities

• Perform other administrative and support duties as assigned.
• Contribute to the company’s ongoing quality improvement initiatives.

Qualifications

Education & Licensing

• High School Diploma or GED required.

Experience

• Minimum 1 year of experience in a clerical or customer service role (call center experience preferred).

Skills

• Excellent verbal and written communication skills.
• Proficient with Microsoft Office and capable of navigating multiple systems simultaneously.
• Strong customer service and organizational abilities.
• Team-oriented with strong interpersonal skills.
• Ability to meet performance targets and manage time effectively.

Technical & Work Environment

• All necessary equipment (desktop, monitors, keyboard, mouse, headset) will be provided. A personal device may be needed temporarily during training, depending on shipping timelines.
• Must have a dedicated, quiet workspace and reliable internet connection.
• Reasonable accommodations will be considered for candidates with disabilities.

Pre-Screening Questions (Include answers in resume submission)

1. Have you ever worked in a call center before?
2. What experience do you have working from home?
3. How comfortable are you using Microsoft Office and multiple systems at once? Please provide an example.
4. What do you like/dislike about your current or previous work environment?
5. Are you available to work one weekend day per week?
6. Have you worked with Sedgwick before? If yes, provide your manager’s name, duration, and reason for leaving.

Note: Candidates from California and New York are not eligible for this position.

Company Description

About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward’s 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class places to work.

BCforward is an equal opportunity employer.

Company Description

About BCforward:\r\n\r\nFounded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward’s 6,000 consultants support more than 225 clients globally.\r\n\r\nBCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class places to work.\r\n\r\nBCforward is an equal opportunity employer.