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美资保险公司理赔专员/Claims Role Profile

万宝盛华企业管理咨询(上海)有限公司

  • 公司规模:1000-5000人
  • 公司性质:外资(欧美)
  • 公司行业:中介服务

职位信息

  • 发布日期:2016-11-29
  • 工作地点:上海
  • 招聘人数:若干人
  • 工作经验:3-4年经验
  • 职位月薪:6000-12000/月
  • 职位类别:保险理赔  信审核查

职位描述

职位描述:
【主要职责】:
?根据公司政策、条款判断索赔。
?跟进高成本索赔,并确保客户和公司知悉。
?跟进索赔流程期间,以确保客户的索赔在所需的时间范围内解决
?在对有关索赔在承诺时间内作出回应,根据客户需要采取必要的行动。
?提供高水平的客户服务,争取首次通话中解决客户问题,在给定的时间内做出回应。
?与内部部门协调,在必要时与相关服务合作伙伴联系。
?积极支持其他团队成员,并提供资源以实现团队目标。

所需经验:
?at least12个月的与医疗管理、保险索赔或以客户服务相关的工作经验。
?英文口语和书面流利。
?有保险业的经验就更好啦~
?精通Microsoft Office办公软件。

技能:
?注重细节,对数字敏感。
?良好的人际交往能力,能与内部和外部客户进行良好的沟通。
?具有以客户为中心的服务意识,具有识别和解决问题的能力。

JD 如下:
The Position:
Reporting to the IPMI Team Leader, you will be responsible for the end to end claims process for our CGHO members.
Customer service is paramount to us and our customers and as the voice of our company, you will be responsible for providing exceptional levels of customer satisfaction, by handling enquiries and claims processing in an efficient and timely manner. The successful applicant will offer the highest possible level of service, via phone or e-mail, to our existing and potential customers, seeking first contact resolution.

Main Duties/Responsibilities:
? Adjudicate claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals.
? Monitor and highlight high cost claims and ensure relevant parties are aware.
? Monitor turnaround times to ensure your claims are settled within required time scales, highlighting to Team Leader when this is not achievable.
? Respond within the time commitment given to enquiries regarding claims status and perform necessary action as required, with first call resolution where possible.
? Provide the highest levels of customer service, striving for first contact resolution, responding within given timelines.
? Build relations with internal departments to ensure all resources are utilised to the benefit of the customer and reaching out to relevant service partners where necessary.
? Identify potential process improvements and make recommendations to Team Leader
? Actively support other team members and provide resource to enable all team goals to be achieved.

Experience Required:
? A minimum of 12mths experience in medical administration, claims environment or customer service focused organization.
? High level of spoken and written English required.
? Experience of working in a Contact Centre environment.
? Experience within the insurance industry is advantageous.
? Ability to meet/exceed targets and manage multiple priorities.
? Proficient in Microsoft Office applications.

Skills:
? Must possess excellent attention to detail, with a high level of accuracy.
? Strong interpersonal skills with good verbal and written communication to internal and external clients.
? Strong customer focus with ability to identify and solve problems.
? Ability to work under own initiative and be proactive in recommending and implementing process improvements.

职能类别: 保险理赔 信审核查

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公司介绍

万宝盛华大中华有限公司,1997年服务启航于香港和台湾。迄今服务覆盖上海、北京、广州、深圳等逾20座直营城市。我们的大股东万宝盛华全球(ManpowerGroup Inc. NYSE:***)是全球人力资源解决方案领导者,拥有70年服务经验。凭借万宝盛华全球的声誉及行业经验,万宝盛华大中华深耕本土20余年。2015年,万宝盛华大中华战略联盟中信产业基金,总部落地上海,服务网络覆盖两岸三地130余城市逾两万家企业。我们始终致力于释放人才的发展潜能,凭借灵活用工、人才寻猎、招聘流程外包、人才管理及培训发展等人力资源综合解决方案,广受业界赞誉,屡次荣膺“亚太人力资源领军企业”。

联系方式

  • Email:manpowerrecruiting@163.com
  • 公司地址:华苑产业园海泰大道