Website EXL South Africa
EXL is the indispensable partner for leading businesses in data-led industries such as insurance, banking and financial services, healthcare, retail and logistics. We bring a unique combination of data, advanced analytics, digital technology and industry expertise to help our clients turn data into … read moreinsights, streamline operations, improve customer experience, and transform their business. Our partnerships with clients are built on a foundation of collaboration – and we’ve been chosen as a partner by nine of the top ten leading US insurance companies, nine of the top 20 global banks, and six of the top ten US health care payers. We function as one team to make your goals our goals, whether that’s unlocking the value of generative AI or embedding analytics into workflows that reduce risk or power your growth. Clients choose EXL as their transformation partner for many reasons. Our geographic diversity make talent all over the world instantly accessible. Digital accelerators enable unmatched speed-to-value, letting you realize results fast. It’s our people that truly set us apart, though, including the 1,500 data scientists we have dedicated to our generative AI practice. And our more than twenty years of experience in delivering business services, garnering stellar client references, and maintaining a solid balance sheet are reassuring to our C-suite clients. Find out for yourself why clients, employees, and analysts think we’re some of the best in the business. Contact us to see how we can help you achieve your goals.
Job Description
In this role, you’ll be tasked with ensuring the achievement of assigned targets in alignment with Service Level Agreements (SLAs). Your responsibilities include upholding transaction quality within predefined parameters and controlling claim costs to minimize leakage.
Maintaining accuracy in reserves and payments while managing the lifecycle of claims is crucial. Adherence to company policies and procedures is paramount to ensure operational efficiency.
You’ll be responsible for managing both inbound and outbound calls, as well as other correspondence related to claims. Emphasizing customer satisfaction, building rapport, and facilitating effective communication are key aspects of this position, aiming for timely resolution of customer concerns.
Additionally, you’ll be expected to fulfill any other essential functions as directed by the supervisor. Join us in delivering excellence and maintaining high standards in claims management.
Responsibilities
Ensure that the assigned targets in accordance with SLA are met
Ensure that the quality of the transactions is in compliance with predefined parameters
Ensure claim costs is controlled and leakage kept at a minimum
Ensure accuracy of reserves and payments and manage lifecycle of claims
Ensure adherence to Company Policies and Procedures
Managing calls – both inbound and outbound as well as all other correspondence on claims
Focus on Customer Satisfaction, rapport building, effective communication and timely resolution of Customer concerns
Any other essential function that may occur from time to time as directed by the Supervisor
Qualifications
English language proficiency
Previous international Voice experience
Good Computer navigation skills
Should be familiar with MS Office
Possesses necessary knowledge of business concepts to effectively perform the job
Makes decisions in a timely manner; shows good judgment about when to make decisions independently and when to collect more information or involve others.
Commits to achieving specific objectives and takes ownership for accomplishing them.
Responsible for handling high volumes of transactions.
Effectively balances quality, timeliness and productivity standards
Self-discipline
Result orientation
Adaptability
Listening and comprehension skills
Questioning and Reasoning Skills
Customer Service focus and telephone etiquette
Ability to multi task, prioritize and manage daily work activities
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