Claims Resolution Specialist
hace 2 semanas
Job Description:
As a Claims Resolution Specialist at Cigna Health And Life Insurance Company, you will play a critical role in managing all levels of complaints and dealing with customers, providers, and other third parties. This position requires strong communication skills, both written and verbal, to provide the highest level of customer service and strive for first contact resolution.
Key Responsibilities:
- Manage all level complaints and deal with customers, providers, and other third parties.
- Provide the highest level of customer service and strive for first contact resolution.
- Report directly to the Claims Manager of the section.
- Manage all administration 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 to maintain portfolio, including managing cancellation requests.
- Call monitoring and quality review 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 the Team Manager.
- Actively support other team members and provide resources to enable all team goals to be achieved.
- Escalation of customer complaints.
- Point of contact for nominated country clients.
Requirements:
- Experience in Life Insurance products, claims environment, and customer service-focused organization.
- Experience in all level complaints resolution.
- Experience 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.
About Cigna Health And Life Insurance Company:
Cigna Health And Life Insurance Company 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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