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Customer Service Representative

00069462171


1. Job Title : SPE-Ins Claims 2. Job Summary : Serve as a specialist in insurance claims processing and customer service handling end to end inquiries and resolutions for global clients in a hybrid work model with rotational shifts. Apply domain knowledge in insurance claims and customer handling to resolve complex cases accurately reduce processing time and support fair outcomes for customers and communities. 3. Experience : 2 - 4 years 4. Required Skills : Technical Skills: Domain Customer Service Domain Skills: 5. Nice to have skills : Domain Skills:Property & Casualty Insurance 6. Technology : Custom Service 7. Shift : Rotational 8. Responsibilities : -Handle end to end insurance claims life cycle from first notification through closure while ensuring accurate documentation and timely resolution for every case handled in rotational shifts with a hybrid work model -Review claim details and supporting information carefully to verify coverage validate loss circumstances and minimize processing errors that could affect customers and business stakeholders -Coordinate proactively with internal operations technology and finance teams to gather missing information resolve discrepancies and keep claim files updated for audits and compliance reviews -Communicate clearly and empathetically with customers through approved channels to explain claim status next steps and decisions while managing expectations and reinforcing trust in the company brand -Apply structured problem solving to investigate complex claim scenarios escalate potential fraud indicators and support ethical and compliant outcomes that protect both customers and company resources -Use claim handling tools workflow systems and knowledge repositories efficiently to log interactions track service levels and continuously improve accuracy and speed of claim resolution -Adhere strictly to regulatory guidelines internal policies and privacy standards related to insurance claims to reduce operational risk and safeguard sensitive customer data -Collaborate with quality and training teams by identifying recurring issues in claim handling and suggesting improvements in process checklists scripts and knowledge articles that enhance service quality -Analyze assigned workload and prioritize claims based on urgency risk and service commitments to ensure timely closure and improved customer satisfaction scores across the portfolio -Contribute to continuous improvement initiatives by sharing insights on claim trends customer pain points and process bottlenecks that can inform better products and services for society -Support rotational shift operations by maintaining reliable attendance flexibility and effective handovers so that service continuity is maintained for customers across geographies -Document every interaction and decision in a clear structured and audit ready manner to enable transparency traceability and effective knowledge sharing within the team -Participate in coaching sessions team huddles and feedback discussions to refine technical domain knowledge communication skills and customer service behaviors that strengthen overall team performance -Qualifications -Possess professional experience in insurance claims or related domain work for a minimum of two years with a strong foundation in structured case handling and customer interaction in a hybrid environment -Demonstrate solid customer service skills including active listening clear explanation of complex topics and calm handling of sensitive claim situations in rotational shift scenarios -Show familiarity with property and casualty insurance concepts such as policy coverage deductibles limits and exclusions and use this understanding to interpret claim details accurately when applicable -Exhibit comfort working with digital claim platforms office productivity tools and case management systems while quickly adapting to new technology or workflow enhancements -Display strong analytical and documentation abilities by interpreting policy terms assessing claim evidence and recording decisions in a clear and concise manner that supports audit and review activities -Work effectively in diverse teams by sharing information supporting colleagues during peak volumes and aligning to common service goals that contribute to positive outcomes for customers and communities 9. Job Location : Primary Location :SVSSSSVA01(HLSLV SanSalvador Almeda Rosevlt-COG) Alternate Location :NA NA Alternate Location 1 :NA NA 10. Job Type : SPE-Ins Claims [75IO52] 11. Demand Requires Travel? : No 12. Certifications Required : Preferred certifications include insurance or claims related credentials such as AINS or an equivalent customer service certification.


Over Cognizant  
Cognizant (NASDAQ: CTSH) is een bouwer van AI-oplossingen en een leverancier van technologiediensten. Wij slaan de brug tussen AI-investeringen en ondernemingswaarde door het bouwen van full-stack AI-oplossingen voor onze klanten. Onze diepgaande kennis van sectoren, processen en engineering stelt ons in staat om de unieke context van een organisatie te verankeren in technologische systemen. Deze systemen versterken het menselijk potentieel, realiseren tastbare resultaten en geven wereldwijde ondernemingen een voorsprong in een snel veranderende wereld. Ontdek hoe op cognizant.ai of @cognizant.

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