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Claims Processor Associate
hace 2 meses
We are seeking a highly skilled Claims Processor Associate to join our team at Cigna Healthcare. As a Claims Processor Associate, you will be responsible for managing all levels of complaints and dealing with customers, providers, and other third parties as required.
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, 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.
- 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.
- 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.
- 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.
- Swedish 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.
Cigna Healthcare, a division of 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.
