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
Sobre nosotros:
Cognizant (NASDAQ: CTSH) es un arquitecto de soluciones de IA y proveedor de servicios tecnológicos que traduce la inversión en inteligencia artificial en valor empresarial real mediante soluciones de IA de stack completo adaptadas a cada cliente. Su profundo conocimiento de la industria, los procesos y la ingeniería le permite integrar el contexto único de cada organización en sistemas tecnológicos que amplifican el potencial humano, generan un impacto real en el negocio y mantienen a las grandes empresas globales un paso adelante en un mundo en constante cambio. Para más información, visita www.cognizant.es o síguenos en @cognizant.
Información adicional de empleo
La información de compensación es precisa a la fecha de esta publicación. Cognizant se reserva el derecho de modificar esta información en cualquier momento, sujeto a la legislación aplicable.
Es posible que se requiera que los solicitantes asistan a entrevistas en persona o por videoconferencia. Además, es posible que se requiera que los candidatos presenten su identificación actual emitida por el estado o gobierno durante cada entrevista.
Cognizant es un empleador que ofrece igualdad de oportunidades. Tu solicitud y candidatura no serán consideradas en base a raza, color, sexo, religión, credo, orientación sexual, identidad de género, origen nacional, discapacidad, información genética, embarazo, condición de veterano o cualquier otra característica protegida por las leyes federales, estatales o locales.
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