tell us about a time where you had a difficult customer and it went well? Didn't end well?
Claims Representative Interview Questions
Claims Representative Interview Questions
Because a claims representative works with customers and insurance companies, having listening, communication, and other soft skills are essential. Expect interview questions that will ask about your ability to deal with frustrated, confused, or injured customers. Additional questions may regard how you negotiate fair payments and your basic administrative skills.
Top Claims Representative Interview Questions & How to Answer
Question 1
Question #1: How do you deal with a stressed-out customer?
How to answer
How to answer: This question is designed to deduce your social skills as a claims representative. Answer with comments with a calm voice, showing that you acknowledge the customer's frustration, apologize to them that they're feeling this way, and let them know you'll take action to resolve their situation.
Question 2
Question #2: How do you manage to negotiate a fair payment?
How to answer
How to answer: Negotiating skills are of paramount importance as a claims representative. Answer that you'll use deductive reasoning and consider the facts surrounding the claim. As a professional claims representative, you understand the normal standards for a variety of claims.
Question 3
Question #3: Do you have the skills to catch a fraudulent claim?
How to answer
How to answer: Claims representatives will occasionally come across fraudulent claims. When asked if you have the conceptual skills to catch a false claim, answer with comments like you pay attention to detail, have knowledge of what a clean claim looks like, and that you always double-check your work. In addition, mention that if you suspect a fraudulent claim, you would alert the insurance company immediately.
3,066 claims representative interview questions shared by candidates
Q. Describe how you handled a situation with a difficult team member or co-worker.
Give me an example of a time when you used good judgment and decision-making in solving a problem.
Tell us why you want the position. What do you like about it.
They asked how I would help a customer in another language. I told them that at my prior employer, we used a phone service that provides interpreters so if that option was available at SSA, I would do the same. However, if not, I would try to find a bilingual coworker for assistance.
The 2nd interview involved Situational-Based questions (which was more challenging). You can find these on the OPM website, however they are going to be completely different depending on the agency. The interviewers gave me a paragraph regarding SSA and I had to do a scenario where I explained the benefits to the interviewer and you only have 5 minutes to determine what you are going to say. The interviewer responded by saying, "Well what if I'm not permanently disabled and I will be out of work for 6 months, how am I going to live?" They also asked me questions regarding legal documentation. The scenario was this guy believed he was the biological father of this child, so the interviewers wanted to know what type of documents were needed to prove that the child was his.
What is your greatest weakness?
why do you want to work in insurance claims?
Can you tell me about a time where you took initiative on doing something even though it was not your responsibility? Can you tell me about a time when you had several tasks & how were you able to prioritize them? Where do you see yourself in 5 years?
Every interview question you could imagine. Be ready.
Viewing 1721 - 1730 interview questions