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PE-Ins Claims

00070513301



Job Summary

This hybrid role in personal insurance claims focuses on delivering accurate and empathetic customer service while handling end to end claim inquiries and simple claim processing within rotational shifts and a structured workflow. The role involves explaining claim status documenting interactions and coordinating with internal teams to ensure efficient resolution that supports organizational goals and enhances trust in insurance services across society.


Responsibilities

  • Handle personal insurance claim related inquiries with clear communication and careful listening to provide accurate information and build trust in claim outcomes for customers and internal partners.
  • Process routine personal insurance claims by validating information documenting case details and following established procedures to support timely and consistent claim settlement.
  • Respond to customer queries through multiple contact channels by explaining policy coverage and claim status in a calm and professional manner that supports customer confidence and satisfaction.
  • Maintain comprehensive and well structured claim documentation in internal systems to ensure transparency audit readiness and smooth handover between team members across rotational shifts.
  • Collaborate with claims handlers and operations teams to escalate complex or disputed cases in a systematic way that reduces resolution time and improves overall service quality.
  • Apply foundational knowledge of insurance concepts to review claim information for accuracy and completeness while identifying potential gaps that require clarification or additional evidence.
  • Follow defined quality and compliance guidelines during every claim interaction to protect customer data meet regulatory expectations and safeguard the organizations reputation.
  • Use available knowledge bases and claim tools to research customer issues and propose practical solutions that align with business rules and support fair outcomes.
  • Adapt to rotational shifts by managing personal work queues efficiently meeting productivity targets and maintaining a consistent customer experience across different time bands.
  • Provide empathetic support during stressful claim situations by acknowledging customer concerns and guiding them through next steps in a structured and reassuring manner.
  • Support continuous improvement initiatives by sharing recurring claim issues and service challenges with supervisors to help refine procedures and improve claim handling efficiency.
  • Align day to day claim servicing activities with the organizations wider goal of enabling financial security and resilience for individuals and communities through trustworthy insurance services.
  • Contribute to a collaborative hybrid work environment by using digital collaboration tools participating actively in team discussions and keeping stakeholders updated on assigned claim cases.

  • Qualifications

  • Demonstrate basic understanding of insurance products and claim lifecycle through prior exposure to insurance domain or related customer service work that supports accurate handling of personal insurance claims.
  • Show proven experience in customer service where clear communication problem solving and emotional resilience were used to manage customer interactions and resolve operational issues.
  • Apply any experience in property and casualty insurance to interpret coverage details identify relevant claim information and explain outcomes in a manner that supports fairness and transparency.
  • Display strong data entry accuracy and attention to detail when recording claim information updating case notes and verifying documents to reduce rework and errors in claim decisions.
  • Use foundational analytical skills to recognize inconsistencies in claim narratives or documentation and to raise appropriate clarifications that support reliable claim assessment.
  • Demonstrate adaptability to hybrid work arrangements and rotational shift patterns while maintaining punctuality responsiveness and steady performance across work locations.
  • Communicate fluently in spoken and written form to handle diverse customer profiles simplify claim related concepts and document interactions in a clear and structured style.
  • Show eagerness to learn new insurance systems claim tools and process updates through training and self study so that productivity and quality can improve over time.

  • Certifications Required

    Desirable certifications include insurance domain training such as certification in property and casualty insurance or customer service excellence.


    关于高知特 (Cognizant)
    高知特(Cognizant)(纳斯达克代码:CTSH)作为一家AI Builder和相关技术服务提供商,致力于通过打造全栈AI解决方案,帮助企业将人工智能投资转化为实际价值。公司凭借深厚的行业经验、流程优化和工程技术专长,将企业独特的业务场景融入科技系统,赋能组织释放人才潜能,推动切实成果,并帮助全球企业在瞬息万变的环境中保持领先。如需了解更多详情,敬请访问 cognizant.ai 或关注@cognizant。

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