Job Summary
This role involves providing exceptional customer service in the Workers Compensation - Claims domain. The candidate will handle claims processing resolve customer inquiries and ensure compliance with regulations. The position requires Spanish language proficiency and offers a work-from-home model with rotational shifts.
Responsibilities
- Handle Workers Compensation claims with precision and ensure timely processing to meet company standards and customer expectations.
- Provide outstanding customer service by addressing inquiries resolving issues and maintaining a professional demeanor.
- Collaborate with internal teams to ensure accurate documentation and compliance with regulatory requirements.
- Utilize domain expertise in Workers Compensation to assess claims and recommend appropriate resolutions.
- Communicate effectively with customers in Spanish ensuring clarity and understanding in all interactions.
- Maintain detailed records of claims and customer interactions to support audits and reporting requirements.
- Identify opportunities for process improvements and contribute to enhancing operational efficiency.
- Ensure adherence to company policies and procedures while managing claims and customer interactions.
- Stay updated on industry trends and regulatory changes to provide informed guidance and support.
- Assist in training and mentoring new team members to ensure consistent service delivery.
- Monitor and report on key performance indicators to track progress and identify areas for improvement.
- Provide feedback to management on customer needs and operational challenges to support strategic decision-making.
- Demonstrate flexibility and adaptability in managing rotational shifts and meeting deadlines.
Qualifications
- Possess strong expertise in Workers Compensation
- Claims with a proven ability to handle complex cases effectively.
- Exhibit excellent customer service skills with a focus on resolving issues and building positive relationships.
- Demonstrate proficiency in Spanish including reading writing and speaking to support diverse customer needs.
- Have a minimum of 2 years and a maximum of 3 years of relevant experience in claims processing and customer service.
- Show familiarity with compliance requirements and industry regulations in the Workers Compensation domain.
- Display strong organizational skills and attention to detail to ensure accurate documentation and reporting.
- Possess effective communication skills to collaborate with internal teams and external stakeholders.
- Exhibit problem-solving abilities to address customer concerns and recommend solutions.
- Demonstrate adaptability to rotational shifts and a work-from-home environment.
- Show commitment to continuous learning and staying updated on industry best practices.
- Have the ability to work independently while contributing to team goals and objectives.
- Display proficiency in using relevant software and tools for claims processing and customer management.
Certifications Required
Certified Customer Service Professional (CCSP) Workers Compensation Claims Certification
What we offer
- The chance to work with impact. Here, you’re empowered to bring your biggest thinking to help our company and clients improve everyday life.
- Ownership over your career. Stay at the top of your game through our award-winning learning and development ecosystem. And when your ambitions change or we offer new opportunities, we help you pivot by providing reskilling, on-the-job learning and guidance to find new roles that might be a better fit.
- The opportunity to thrive on a high caliber team with heart. We celebrate each other’s experiences and perspectives and promote a sense of belonging through our affinity groups and diversity and inclusion initiatives.
- A comprehensive total rewards package, including a competitive salary and a pension plan with matching contributions.
- Flexible health and financial benefits to support you and your eligible dependents—from day one.
- True work-life balance. Be at your best through paid time off, flexible work arrangements, volunteering opportunities, social events, and so much more.
About us
Cognizant (Nasdaq: CTSH) is an AI Builder and technology services provider, building the bridge between AI investment and enterprise value by building full-stack AI solutions for our clients. Our deep industry, process and engineering expertise enables us to build an organization’s unique context into technology systems that amplify human potential, realize tangible returns and keep global enterprises ahead in a fast-changing world. See how at www.cognizant.com or @cognizant.
Other employment-related information
Cognizant is an equal opportunity employer. Your application and candidacy will not be considered based on race, color, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status or any other characteristic protected by federal, provincial or local laws.
If you have a disability that requires reasonable accommodation to search for a job opening or submit an application, please email [email protected] with your request and contact information.
Language requirements vary depending on roles, but we ask that all candidates have basic English proficiency for company-wide communications purposes. For roles based in Quebec, professional English proficiency is required, as you’ll deliver services to and collaborate with stakeholders outside the province who may not speak French.
