Claims Resolution Specialist

hace 7 días

Madrid, Madrid, España The Cigna Group A tiempo completo
Job Summary

We are seeking a highly skilled Claims Resolution Specialist to join our team at The Cigna Group. As a Claims Resolution Specialist, you will be responsible for managing all levels of complaints and providing exceptional customer service to our clients.

Key Responsibilities
  • Manage all level complaints and deal with customers, providers, and other third parties as required.
  • Provide the highest level of customer service, striving for first contact resolution and responding within given timelines.
  • Develop and maintain a good breadth of knowledge on product types and respond to claims effectively.
  • Manage all administration tasks related to the position, including documentation and record-keeping.
  • Manage all complaints received and ensure compliance with regulatory requirements in each country.
  • Retention duties: manage cancellation requests to maintain portfolio.
  • Call monitoring and quality review to rate team performance.
  • Build relationships with internal departments to ensure all resources are utilized to benefit the customer.
  • Identify potential process improvements and make recommendations to the team manager.
  • Escalate customer complaints and serve as a point of contact for nominated country clients.
Requirements
  • Experience in life insurance products, claims environment, and customer service-focused organizations.
  • Experience in resolving all level complaints.
  • 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 is a plus.
  • 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.
About The Cigna Group

The Cigna Group is an advocate for better health through every stage of life. We guide our customers through the healthcare system, empowering them with the information and insight they need to make the best choices for improving their health and vitality.

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