Hybrid Customer Service Representative
Cognizant · San Salvador
Job description
About the role
Join our dynamic insurance team as a Hybrid Customer Service Representative. You will work on end‑to‑end claims processing, interact with customers across multiple channels, and support underwriting functions while enjoying a hybrid work model and rotational shifts.
Key responsibilities
- Process insurance claims from submission to payment, ensuring coverage validation, liability assessment, and compliance with internal policies and external regulations.
- Handle customer inquiries via phone, email, or digital platforms with a calm, empathetic approach, clearly communicating claim status and required documentation.
- Review claim documents, policy schedules, loss descriptions, and supporting evidence to identify missing information, inconsistencies, or red flags.
- Coordinate with underwriting, policy servicing, and quality teams to clarify complex policy terms, endorsements, and exclusions.
- Apply structured problem‑solving to evaluate claim scenarios, select appropriate settlement options, and protect customer interests.
- Use claim administration tools and customer service platforms to log interactions, update notes, track service‑level metrics, and maintain data integrity.
- Follow SOPs, escalation matrices, and approval thresholds for complex or high‑value claims while ensuring timely customer updates.
- Maintain strict compliance with information security, confidentiality, and data‑privacy standards.
- Monitor personal performance metrics (AHT, FCR, claim accuracy, CSAT) and take proactive actions to meet targets.
Required profile
- 2‑4 years of hands‑on experience in insurance operations, claims processing, or related customer‑service environments.
- Ability to work in a hybrid model with rotational shifts, maintaining reliable connectivity.
- Strong communication skills with a solution‑oriented mindset.
Required skills
- Microsoft Excel
What we offer
- Hybrid work flexibility
- Opportunities for professional growth in the insurance sector
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Published 1 month ago
Expires 3 weeks from now
33 views · 0 interested
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Cognizant
San Salvador
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