Claims Adjudication Specialist

On-Site Claims Adjudication Specialist

MCI is one of the fastest-growing tech-enabled business services companies in the USA, with a strong call center footprint and operations that extend across multiple countries. We deliver Customer Experience (CX), Business Process Outsourcing (BPO), and Anything-as-a-Service (XaaS) cloud technology solutions across a wide range of industries, including healthcare, retail, government, education, telecom, technology e-commerce, and financial services. Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies to enhance customer journeys, drive scalability and reduce costs.

At MCI we are committed to fostering an environment where professionals can build meaningful careers, access continuous learning and development opportunities and contribute to the success of a globally expanding, industry-leading organization.

We are seeking a detail-oriented and analytical On-Site Claims Adjudication Specialist to join our team! If you have strong critical thinking skills, a passion for exceptional customer service, and the ability to thrive in a fast-paced environment, we want to hear from you. This role involves handling inbound communications, evaluating warranty claims, and working closely with customers and service partners to ensure timely and accurate resolutions.

Training Schedule (2-3 weeks): Monday to Friday: 8:00 AM - 5:00 PM (Weekends Off)

Post-Training Shift: Saturday to Tuesday: 8:00 AM - 6:00 PM (Wednesday - Friday Off) Must be available for weekends shift hours and days cannot be modified. Full-time, 40 hours per week.

To be considered for this role, you must complete a full application on our company careers page, including all screening questions and a brief pre-employment test.

Key Responsibilities: Engage with existing customers through inbound calls and email. Evaluate and process warranty claims with precision, ensuring adherence to policy terms and conditions. Apply critical thinking and analytical skills to make informed, evidence-based decisions quickly. Handle escalated claims and conduct thorough investigations to resolve complex issues efficiently. Collaborate with customers, service partners, and internal teams to deliver an outstanding customer experience. Adapt to evolving processes and technology in a fast-growing business environment. Maintain accurate records of claim resolutions and customer interactions using email management systems and customer service software.

Expectations: Effectively multitask while managing a high volume of inbound communications via phone, email, and other channels. Clearly and concisely communicate complex claim details and decisions to customers and internal teams. Provide empathetic and professional customer service, even in high-pressure situations. Ensure timely and precise claim resolutions while maintaining high performance standards. Navigate multiple systems with proficiency and accuracy.

Ideal candidates for this position are highly motivated and dedicated and should possess the below qualities: High school diploma or equivalent (additional certifications are a plus). 1-3 years of experience in one or more of the following: call center, claims adjudication, insurance adjusting, or technical customer service (preferably in a high-volume or protection plan environment). Proficiency with computers is essential. Proficiency in claims management systems, contact center platforms, and MS Office products. Strong verbal and written communication skills, with attention to grammar and clarity. Strong critical thinking and problem-solving skills with the ability to make well-informed decisions under pressure. Must be able to complete a writing skills test, including sending an email recap of a conversation.