Cover Genius

The role involves investigating high-risk customer interactions and conducting root cause analysis to identify systemic failures. It also requires leading calibration sessions and mentoring junior QA associates to improve service quality and regulatory compliance.

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.

The Claims Specialist will be responsible for the assessment and settlement of claims within their authority, ensuring timely processing and orderly management of their claims queue using the proprietary XClaim platform. Key duties include managing day-to-day claims activities, owning claim approval, handling customer inquiries, and collaborating with Support and Content/Complaints teams to meet SLAs and NPS targets.