Job Summary
This role focuses on delivering exceptional customer service in the Workers Compensation - Claims domain. The candidate will handle claims processing ensure compliance with regulations and provide support to clients in a hybrid work model with rotational shifts. Proficiency in Spanish is essential.
Responsibilities
- Manage and process Workers Compensation claims with accuracy and efficiency to ensure timely resolution.
- Provide exceptional customer service by addressing inquiries and resolving issues related to claims processing.
- Collaborate with internal teams to ensure compliance with regulatory requirements and company policies.
- Communicate effectively with clients and stakeholders in Spanish to provide clear and concise information.
- Analyze claim details to identify discrepancies and take corrective actions to maintain data integrity.
- Utilize claims management systems to document and track claim progress ensuring transparency and accountability.
- Assist in preparing reports and summaries related to claims activities for management review.
- Educate clients on Workers Compensation policies and procedures to enhance their understanding and satisfaction.
- Maintain confidentiality and adhere to data protection standards while handling sensitive information.
- Participate in training sessions and workshops to stay updated on industry trends and best practices.
- Contribute to process improvement initiatives to enhance efficiency and customer experience.
- Support team members in achieving collective goals and maintaining a positive work environment.
- Ensure seamless coordination between rotational shifts to maintain consistent service delivery. Qualifications
- Demonstrate strong proficiency in Spanish including reading writing and speaking to effectively communicate with clients and stakeholders.
- Possess excellent customer service skills to address client needs and resolve issues promptly.
- Exhibit a solid understanding of Workers Compensation
- Claims processes and regulations.
- Showcase attention to detail and analytical skills to identify and resolve claim discrepancies.
- Display adaptability to work in a hybrid model and rotational shifts while maintaining productivity.
- Have experience using claims management systems and tools to document and track claim activities.
- Demonstrate effective collaboration and teamwork skills to achieve organizational objectives.
- Exhibit strong organizational and time management skills to handle multiple tasks efficiently.
- Show commitment to maintaining confidentiality and adhering to data protection standards.
- Possess excellent verbal and written communication skills to convey information clearly and professionally.
- Display a proactive approach to learning and staying updated on industry trends and practices.
- Demonstrate problem-solving skills to address challenges and improve processes.
- Showcase a customer-centric mindset to enhance client satisfaction and loyalty.
Certifications Required
Certified Customer Service Professional (CCSP) Workers Compensation Claims Certification
About Cognizant:
Cognizant (Nasdaq: CTSH) is an AI Builder and technology services provider, bridging the gap 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, drive tangible outcomes and keep global enterprises ahead in a fast-changing world. See how at cognizant.ai or @cognizant.
Additional employment information
Compensation information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.
Applicants may be required to attend interviews in person or by video conference. In addition, candidates may be required to present their current state or government issued ID during each interview.
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, state 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.