Claims Processing Associate- Kingsland
Claims Processing Associate- Kingsland
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
As member of the team You will make claim decisions and respond to claimant employer and client queries via phone and email within defined KPIs (decision and response time quality and customer satisfaction). This role interacts with client team members employers employees and other contacts for claim determination
Responsibilities:
- Manage absence workflow from intake missing information gathering and eligibility determination from adjudication to decision
- Handle Leave queries and processing received through customer platform phone and email
- Make claim determination and follow-up activities within program timeliness and quality standards
- Respond to queries regarding policies and programs including benefits attendance payroll deductions etc.
- Adhere to defined processes and ensure delivery in accordance with Key Performance Indicators (KPI)
- Thorough knowledge of policies & processes for multiple Employer groups
- Ensure the Service level are achieved at all times for Leave Management Processes
- Integrity and discretion in dealing with sensitive information and ensure data privacy at all times
- Take ownership for query resolution and individual metrics
Qualifications :
- Minimum four CXC subjects including English Language.
- Minimum of 1-year direct customer interaction via phone and email preferred.
- Works well in a metric driven environment
- Ability to think critically and interpret eligibility requirements based on guidelines and rules qualifiers defined limits etc.
- Understand exception scenarios and drive timely closures/resolution.
- Excellent customer service skills; exhibiting empathy while adhering to business guidelines
- Strong basic math skills
- Strong attention to detail and good interpersonal skills
- Strong decision making and problem-solving skills
- Able to work independently with less supervision to complete assigned work tasks within established time frame
- Proficient with Microsoft applications (word outlook etc)
- Application of phone and email etiquettes in customer interactions
- Strong listening understanding and receptive skills to ensure positive customer experience for claimants/employees
- Ability to draft and exchange communication with right messaging compliant with state regulations and customer procedures
- Strong research and factfinder to be able to articulate claim ineligibility with reasoning clearly
- Ability to multi-task with a demonstrated ability to work in a fast-paced environment handling a large volume of caseload
- Must be willing to do drug test and background check
Additional Information :
All your information will be kept confidential according to EEO guidelines.
As your prospective employer we need to process your Personal Data as needed to evaluate your qualification for the position you are applying for with Sutherland. During the recruitment process your Personal Data may be transferred outside of Jamaica and disclosed to third parties in the normal course of the recruitment and/or employment process or as needed to comply with applicable laws. This may include transferring information to our affiliated Companies for purposes connected to your employment with the company or to the management of Sutherlands business.
Remote Work :
No
Employment Type :
Full-time
Employment Type
Full-time
