Claims Processor Associate
hace 1 mes
Job Summary
The Claims Processor Associate will be responsible for managing all level complaints and dealing with customers, providers, and other third parties as required. This role will involve using various communication channels to resolve customer issues and provide excellent customer service.
Key Responsibilities
- Provide high-level customer service, striving for first contact resolution and responding within given timelines.
- Manage new claims from start to end, ensuring timely and efficient resolution.
- Administer all tasks related to the position, including email, post, fax, and fulfillment.
- Manage all complaints received and ensure compliance with regulations in each country.
- Retention duties: manage cancellation requests to maintain the portfolio.
- Conduct call monitoring and quality review to rate team performance.
- Build relationships with internal departments to ensure resources are utilized to benefit the customer.
- Identify potential process improvements and make recommendations to the team manager.
- Support other team members and provide resources to enable team goals to be achieved.
- Evaluate and escalate customer complaints.
- Act 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.
- Experience working in a contact center environment.
- Ability to meet/exceed targets and manage multiple priorities.
- Proficient in Microsoft Office applications.
- Native speaker of Swedish with a good knowledge of English language. Any other European language is a plus.
- Excellent attention to detail and high level of accuracy.
- Strong interpersonal skills with excellent verbal and written communication to internal and external clients.
- Desirable commercial skills.
- Ability to work independently and proactively recommend and implement 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.
The Cigna Group is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive work environment that values diversity and promotes equal opportunities for all employees.
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