Claims Administrator (French Speaking)
Detail posisi
Kewajiban
• Ensure the qualification of the cases (emails) in our salesforce tool :
• Fill in the cases (Salesforce emails) with the information needed to link the email to the insured/underwriter's environment.
• Fill in the subject of the emails
• Dispatch the cases (Salesforce email) according to the services and the organization of the management services and close certain cases.
• Deliver excellent customer service through high quality and efficient handling of policyholder’s claims
• Understand the clients' needs, eligibility, and coverage, and then provide qualified assistance services correspondingly
• Manage cases proactively by using our internal systems and communicating with all relevant departments
• Formulate, affect, interpret, or implement polices pertaining to strategic claim resolution
• Make prompt and timely decisions on policy cover and settlement costs
• Acquire information as necessary to perform accurate redress calculations
• Achieve set targets in line with required quality standards.
Kualifikasi
• Bachelor's degree (medical knowledge is a plus)
• 2+ years of experience in medical/life insurance underwriting or claims processing would be an asset for the role
• Excellent verbal and written communication skills in both French and English
• Proficient in problem-solving situations with multiple stakeholders and capable of developing alternative solutions
• Flexible, capable of working well under pressure and able to work as a team
• Customer-oriented with a service mindset
• Proficient in using computers, Microsoft Office, Internet, and E-mail.