Claims Customer Care-team Leader

hace 6 meses


Tijuana, México Integon Service Co. A tiempo completo

Job Summary:

- The Team Leader is responsible for leading a complex and occasionally highly complex claim service process and/or directing the work of typically five to ten nonexempt, customer-facing staff. The individual supports the implementation of complex and occasionally highly complex operational initiatives that enable the achievement of Claim, Discipline, or Company business objectives.

Key Responsibilities:
- Manages, researches, and resolves complex and occasionally highly complex customer communications, concerns, conflicts, or issues-
- Summarizes documents and enters into claim system notes-
- Documents a claim file with notes, evaluations, and the decision-making process-
- Manages multiple complex and occasionally highly complex work assignments with limited guidance provided-
- Administers company Human Resources policies, seeking input from more experienced Team Leads or other leaders as necessary-
- Gathers, analyzes, and evaluates complex and occasionally highly complex claim processes or procedures; obtains facts and explains complex informationSupervisory Responsibilities:

- This job does have supervisory duties
- Preferred Qualifications:

- Education and Experience- Bachelor’s Degree or equivalent-
- 3 or more years of experience (preferred)-
- In lieu of the above education requirements, an equivalent combination of education and experience may be considered-
- Call Center experience (preferred)-
- Insurance industry knowledge (preferred)- Certificates, Licenses, Registrations- No Certification, License, or Registration is required for this job.- Functional Skills- Applies advanced knowledge of insurance policy, coverage, and regulation-
- Applies advanced knowledge of claim processes, policies, procedures, claim systems, coverage, liability, damage estimating, and/or settlement, and adherence to applicable legal compliance standards-
- Applies advanced knowledge of analytical procedures to reconcile, manipulate, & recognize patterns of data-
- Applies advanced knowledge of problem-solving and preparation of complex reports for analysis-
- Applies advanced negotiation and/or arbitration skills-
- Applies advanced conflict management and problem resolution skills in managing internal and external customer relationships-
- May work within complex and occasionally highly complex assignments requiring specialized knowledge in breadth and/or depth in area of expertiseIntegon, a Great Place to Work, provides innovative technology and customer support services to major personal lines insurance providers, including Fortune 100 companies rated A+ (Superior), by A.M. Best, for financial strength.



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