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Claims Representative

hace 3 meses


Madrid, Madrid, España The Cigna Group A tiempo completo
The job profile for this position is Claims Representative, which is a Band 1 Professional Career Track Role.

Excited to grow your career?

We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply

Our people make all the difference in our success.

Job Description

JOB DESCRIPTION

At this level, role holders manage all level complaints and deal with customers, providers and other third parties when required using any of the communication channels provided such as phone or email. The claim assessor reports directly to the Claims Manager of the section.

Role Purpose:

  • Provide the highest level of customer service, striving for first contact resolution, responding within given timelines.
  • Good breadth of knowledge on product types and the ability to respond to claims. Reporting to the Claims Manager will be responsible of managing new claims from start to end.
  • Manage all the administration tasks related to the position: E-mail, Post, Fax, Fulfilment, etc...
  • Manage all Complaints received and within compliance regulations in each country.
  • Retention duties: in order to maintain portfolio the team will manage cancellation requests.
  • Call monitoring and quality review in order to rate Team Performance.
  • Build relations with internal departments to ensure all resources are utilized to the benefit of the customer, working within the regional benefits and reaching out to relevant service partners where necessary.
  • Identify potential process improvements and make recommendations to Team manager.
  • Actively support other team members and provide resource to enable all team goals to be achieved.
  • Escalation of customer complaints
  • Point of contact for nominated country clients

Key Skill and Knowledge

Experience Required:

  • Experience in Life Insurance products, claims environment and customer service focused organization.
  • Experience on all level Complaints resolution.
  • Experience of working in a Contact Centre environment.
  • Ability to meet/exceed targets and manage multiple priorities.
  • Proficient in Microsoft Office applications.
  • Italian native speaker with a good knowledge of English language. Any other European language will be a plus.
  • Must possess excellent attention to detail, with a high level of accuracy.
  • Strong interpersonal skills with excellent verbal and written communication to internal and external clients.
  • Desirable Commercial skills
  • Ability to work under own initiative and proactive in recommending and implementing process improvements.
  • Ability to organize, prioritize and manage workflow to meet individual and team requirements
  • Ability to quickly identify customer needs and exercise judgment in a professional and confident manner.

Key Competencies

  • Conflict management
  • Customer focus
  • Learning and applying quickly
  • Problem solving

Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.