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Complaints & Escalated Claims Specialist

Complaints & Escalated Claims Specialist, Assurant-India

Reporting into the Outsource Vendor Manager, CL you will be the primary contact for complaints and (escalated) claim inquiries. You will resolve formal complaints and additionally, will track escalation data for operations and reporting purposes and propose settlement agreements. Oversight of the business’s Complaints Claims Assessment system and processes.

This position will be Work from Office at our Mumbai, India location.  

What will be my duties and responsibilities in this job?

  • Oversight of our Complaints Claims Assessment system and processes.
  • Manage multiple issues/cases at one time simultaneously based on workload.
  • Accurately, independently and fairly assess and review claims and complaints based on the T&C and to conduct claims reviews on high value claims
  • Identify and escalate serious or urgent cases to the MD.
  • Identify opportunities for a process improvement for the betterment of the customer experience and Assurant Operations from a cost-saving perspective.
  • Communicate with medical advisor, to discuss medical conditions and complex cases where required and report findings.
  • Ensure that Service Levels Agreements, Internal and Regulatory timelines are met.
  • Required to log and track each issue in multiple tracking systems for the purpose of generating reports.
  • Maintain a high level of Complaint-handling skills, following agreed service level agreements, contracts and against policy conditions.

What are the requirements needed for this position? 

  • 7 + years in experience in composing responses to external contacts
  • Experience with claim handling and dealing with complaints.
  • Work experience in insurance industry is important.
  • Experience within customer focused roles.

Any posted pay range considers a wide range of compensation factors, including candidate background, experience, and work location, while also allowing for salary growth within the position.

Helping People Thrive in a Connected World
Connect with us. Bring us your best work and your brightest ideas. And we’ll bring you a place where you can thrive. Learn more at jobs.assurant.com.

For U.S. benefit information, visit myassurantbenefits.com. For benefit information outside the U.S., please speak with your recruiter.

What’s the culture like at Assurant?
Our unique culture is a big reason why talented people choose Assurant. Named a Best/Great Place to Work in 13 countries and awarded the Fortune America’s Most Innovative Companies recognition in 2023, we bring together top talent around the world. Although we have a wide variety of skills and experiences, we share common characteristics that are uniquely Assurant. A passion for service. An ability to innovate in practical ways. And a willingness to take chances. We call our culture The Assurant Way.

Company Overview
Assurant is a leading global business services company that supports, protects, and connects major consumer purchases. A Fortune 500 company with a presence in 21 countries, Assurant supports the advancement of the connected world by partnering with the world’s leading brands to develop innovative solutions and deliver an enhanced customer experience through mobile device solutions, extended service contracts, vehicle protection services, renters insurance, lender-placed insurance products, and other specialty products.

Equal Opportunity Statement
Assurant is an Equal Employment Opportunity employer and does not use or consider race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other characteristic protected by federal, state, or local law in employment decisions.

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