Bilingual - Care Team Representative/représentant

2 weeks ago

Quebec Province, Canada Sedgwick Full time

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague.

A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.


A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve.

If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here.

Join us and contribute to Sedgwick being a great place to work.

Great Place to Work

Top 100 Most Loved Workplace

Forbes Best-in-State Employer

Bilingual - Care Team Representative/Représentant de l'équipe d'assistance

PRIMARY PURPOSE:

To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not limited to, expediting the claims process and providing detailed claim notes on all calls, resolving issues with one call/one person response, and directing calls to appropriate escalation path as needed.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Acts as primary liaison with callers from multiple client accounts within a shared services environment.
  • Performs claim intake and fullservice customer support within regulatory requirements, company, and client expectations at all times.
  • Educates and informs the customer about documentation required to file/process a claim, required time frames, payment information, and claim status.
  • Educates claimants/callers on client requirements and benefit plans documenting all required details of the call in a concise professional manner.
  • Enters verbal and written claim information that meets both the internal and external customer's requirements accurately into the appropriate system.
  • Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist/management as needed.
  • Attendance during scheduled work hours is required.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES

  • Performs other duties as assigned.

QUALIFICATIONS
Education & Licensing

High school diploma or GED required.

Experience

One (1) year customer service experience or equivalent combination of education and experience required. Inbound call center experience preferred.

Skills & Knowledge

  • Excellent verbal and written communication skills
  • PC literate, including Microsoft Office products, Windows environment
  • Must meet minimum typing requirements
  • Strong organizational skills
  • Good interpersonal skills
  • Ability to multi task in fast paced environment
  • Ability to support multiple clients across communication channels and utilize multiple systems simultaneously
  • Ability to work in a team environment and/or independently
  • Ability to meet or exceed Performance Competencies
  • Ability to meet all attendance expectations


The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description.

They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

We are committed to inclusive, barrier-free recruitment and selection processes. If contacted for an employment opportunity, please advise Colleague Resources if you require accommodation.

OBJECTIF PRINCIPAL :

Fournir un excellent service faisant preuve d'empathie envers les appelants concernant les réclamations concernant plusieurs secteurs d'activité, y compris, mais sans s'y limiter, accélérer le processus de réclamation et fournir des notes de réclamation détaillées sur tous les appels, résoudre les problèmes en répondant à un seul appel/une seule personne et diriger les appels vers les personnes ressource appropriées, selon les besoins.


FONCTIONS ET RESPONSABILITÉS ESSENTIELLES

  • Agir comme agent de liaison principal avec les appelants de plusieurs comptes clients dans un environnement de services partagés.
  • Suivre les spécifications pour répondre aux questions et résoudre les problèmes liés aux processus de demande de réclamation et de service.
  • Effectuer à tout moment la réception des réclamations et assure un service à la clientèle complet dans le respect des exigences réglementaires, de l'entreprise et des attentes des clients.
- Éduquer et informer le client sur la documentation nécessaire pour déposer/traiter une réclamation, les délais requis, les informations de paiement et l'état de la réclamation.
- Éduquer les de

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