The Complaints Specialist will manage the identification and processing of customer complaints across all business verticals while ensuring compliance with global regulations. They are responsible for evaluating concerns, documenting issues, and facilitating efficient escalations to resolution teams.
The Quality Analyst will conduct advanced audits of claim files within the ticketing vertical to ensure fairness, regulatory compliance, and high-quality customer touchpoints. They will also lead root cause analysis and collaborate with cross-functional teams to drive systemic quality improvements.
You will lead the Claims Quality Assurance team, managing daily workflows and ensuring audit accuracy and defensibility. Additionally, you will design scalable audit processes and represent the organization during underwriter and regulatory audits.
Responsible for adjudicating regulated insurance claims within the Digital Commerce vertical, focusing on electronics, appliances, and furniture. The role involves conducting investigations, issuing coverage determinations, and ensuring strict adherence to state insurance regulations.
Manage multi-channel customer inquiries via phone, chat, and email while applying policy and managing complex interactions. Execute back-office operational tasks including claims administration and maintaining audit-ready documentation.
Manage multi-channel customer inquiries via phone, chat, and email while applying policy and managing complex cases. Execute back-office administrative tasks including claims administration and triage to maintain operational productivity.
