Claims Fulfillment Expert
5 days ago
Fulfill a critical role in the insurance industry as a Claims Fulfillment Consultant at Future Careers.
About the RoleThis position involves handling various aspects of claims processing, ensuring timely resolution and customer satisfaction. As a key member of our team, you will work closely with stakeholders to resolve complex claims efficiently.
Key Responsibilities:- Claims Authorization: Authorize claims within set mandates and resolve them within agreed productivity targets and turnaround times.
- Troubleshooting: Apply technical skills to resolve issues using available tools and systems, communicating effectively with customers.
- Customer Engagement: Demonstrate a clear understanding and execution of customer complaints and resolutions, maintaining high levels of customer satisfaction.
- Regulatory Compliance: Understand and adhere to regulated agreements specified by relevant regulatory boards.
- Payout Management: Ensure accurate application of rates to service providers and correct appointment of service providers to claims.
- Reporting and Communication: Understand report and quote requirements for prompt claims resolution.
- Technical Skills: Operate claims management systems, use relevant tools for quick claim resolution, and communicate effectively through email and other channels.
Main Competencies:
- Problem-Solving: Resolve complex claims efficiently.
- Communication: Engage with customers, loss adjusters, and other stakeholders.
- Attention to Detail: Accurately interpret policy wording and apply it to claims.
- Collaboration: Work with internal and external teams to achieve claims resolution goals.
Requirements:
- Experience: 4 years in claims handling, preferably homeowners/building claims experience.
- Skills: Short-term claims insurance experience, ability to handle customer queries, and communication skills.
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