- Handle calls and e-mails and respond to simple and complex inquiries regarding eligibility, cards status, envoy registration/navigation, policy benefits, issue certificates of insurance, claims status and other related information and provide solutions for customers and clients.
- Receives requests by mail, telephone, or in person regarding insurance claims/policies. Responds to inquiries from policy holders, clients, brokers and/or others.
- Performs research to respond to inquiries and interprets policy provisions to determine most effective response.
- Mails or routes claim forms and supporting documentation to various units for final processing.
- Excellent interpersonal skills, ability to understand and interpret policy provisions. Independently responds to inquiries, grievances, complaints or appeals ranging from routine to moderate complexity.
- May seek assistance with complex customer services issues.
- Must have a diploma or bachelor's degree or equivalent
- Excellent English written and oral communication skills
- Chinese written and oral skill is a must
- Exceptional organizational and time-management focus
- Independently responds to inquiries, grievances, complaints or appeals ranging from routine to moderate complexity.
- 1+ years of customer service experience analyzing and solving customer problems required; call center experience a plus
- Ability to perform in a high volume, fast paced call center environment
- Proven ability to work independently as well as a productive member of a team
- Intermediate proficiency in Microsoft office suite; high level capacity to multitask independently and on a computer
- Knowledge of medical terminology a plus
- Work in 24 x 7 rotation shifts.
- 5 days a week.
- In split shifts (some hours in the morning and remaining hours in the afternoon or evening) and public holidays
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Customer Service Representative - Nairobi, Kenya - The Cigna Group
Description
The job profile for this position is Customer Service Representative, which is a Band 1 Professional Career Track Role.Excited to grow your career?
We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply
Our people make all the difference in our success.
About the job
You are responsible for the client communication for designated account relationships and Contracts.
You are required to response to the client on timely manner providing full and accurate information in one go.
Main Duties / Responsibilities
Qualifications
Conditions/requirements
Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.