Knowledgeable and dedicated customer service professional with extensive experience in Customer Service industry. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Articulate, energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and growing businesses.
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Provide support to agents, clients, and customers by adjudicating claims, providing claims status, and resolving or escalating customer issues. Communicate effectively with all levels of the organization.
▪Handle claims related calls performing within defined metrics.
▪ Order inspection when applicable.
▪ Follow proper claims procedures as outlined in training and feedback provided by QA or Supervisor.
▪ Master understanding of clients, agents, and contract terms and conditions.
▪ Escalate issues to team lead, supervisor, or managers when unable to de-escalate.
▪ Notify Supervisor when possible fraud is suspected.
▪ Participate in all training as required to perform the duties of the role.
▪ Keep record of phone calls and transmit claim form to Dealership or Repair Facility.
▪ Drive the status of the claims within the Safe-Guard system.
▪ Send denial letter to customer and copies dealership if necessary.
▪ Adhere to Quality Assurance Guidelines.
▪ Perform other duties as assigned by the Claims Center Manager or Team Lead.
▪ PDR Handling.
▪ Handle claim calls in both English and Spanish
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