Claims Specialist
Job type: Full Time · Department: Claims Operations - 331 · Work type: Remote
Montevideo, Montevideo Department, Uruguay
Cover Genius is a Series E Insurtech that protects the global customers of the world’s largest digital companies including Booking Holdings, owner of Priceline, Kayak and Booking.com, Intuit, Hopper, Skyscanner, Ryanair, Turkish Airlines, Descartes ShipRush, Zip and SeatGeek. We’re also available at Amazon, Flipkart, eBay, Wayfair and SE Asia’s largest company, Shopee.
Our partners integrate with XCover, our award-winning insurance distribution platform, to embed protection for millions of customers worldwide each year. Our team and products have been recognized sed with dozens of awards including by the Financial Times who ranked Cover Genius as the #1 fastest growing company in APAC in 2020. Our diverse team across 20+ countries and many language groups commits itself to diverse cultural programs, in particular “CG Gives” which makes social entrepreneurs out of us all and funds development initiatives in global communities.
Our People are Bold, Authentic, Purposeful and Inspired
Our People are not Perfect, Traditional, Complacent or Cautious
As a Claims Specialist within our Customer Team, you will be responsible for the assessment and settlement of claims, operating within your designated settlement authority. You will ensure the timely processing and orderly management of your claims queue.
To excel in this role, meticulous attention to detail, strong organizational abilities, and effective time management skills are essential, alongside a profound sense of responsibility and ownership.
The Claims Specialist will review and evaluate customer claims via our proprietary XClaim platform, aiming for rapid resolution and prompt payment. Consistent collaboration with the Support team, as well as the Content and Complaints team, will be crucial for achieving established Service Level Agreements (SLAs) and Net Promoter Scores (NPS).
Claims Processing: Manage day-to-day claims activities for new claims, including claims actions, emails, and payments.
Ownership: Own the assessment and approval of new claims within the authority and fraud thresholds.
Customer Communication: Handle customer inquiries regarding claims status and policy coverage via chat, phone or email. Build rapport with customers to speed up claim’s resolution and process claims payments.
Documentation: Ensure all necessary documentation is collected and filed accurately in the system.
Quality: Maintain the quality of our work ensuring accuracy to meet business, team and individual KPIs.
Collaboration: Own the communication with all relevant stakeholders (Claims, Support) to resolve claims efficiently and ensure the best customer experience.
Compliance: Be aware of current insurance guidelines, policy updates, and regulations. Follow company guidelines and local regulations to ensure claims are handled fairly and ethically.
Process Improvement: Identify and recommend process improvements to enhance claims handling efficiency and operations.
1-2 years experience handling customer queries online, ideally with litigations.
Fluency in English (verbal & written) is essential for communicating internally and externally.
Basic understanding of insurance products and terminology.
Bachelor’s or postgraduate degree in a related field or equivalent is desirable.
Time Management
Organisation
Attention to Detail
Demonstrates resilience
Learning orientation
Relationship building skills
Communication skills
Cover Genius not only cares about being the best in our industry, we care about our team. We’re a business that understands life can be fluid and so we flex to ensure we provide the environment to suit that. What does that mean?
• Flexible Work Environment - Our teams are remote.
• Work with like-minded people who are passionate about both the work we're doing and giving back. Our CG Gives programs enable us to all become philanthropists through our peer recognition and rewards system.
• Social Initiatives - pictures speak a thousand words!
Sounds interesting? If you think you have the best composition of the above, send us your resume and let's chat!
Cover Genius promotes diversity and inclusivity. We don't tolerate discrimination, demeaning treatment of anyone, or harassment due to race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or any other legally protected status.
By submitting your application, you acknowledge that we may collect, store and process your personal data for recruitment purposes. To ensure a fair evaluation, we may use AI to assist in sorting applications, but all final decisions are made by our hiring team and no candidate dispositions are automated. We will keep your information on file for three years from the date of your application. For detailed information about how we handle your data and our use of AI, please review our full Privacy Policy.
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