Claims Specialist

Summary

Join Cover Genius, a Series E insurtech, as a Claims Specialist and own the assessment and settlement of claims for our Digital Commerce partners. You will review and assess customers’ claims through our XClaim platform, ensuring fast resolution and prompt payment. Collaborate with cross-functional teams, providing customer-centric experiences while meeting performance targets. The role requires 1-2 years of claims handling experience, fluency in English and Portuguese, and a basic understanding of insurance products. A bachelor's or postgraduate degree is desirable. Cover Genius offers a flexible work environment and opportunities to give back to the community through our CG Gives program.

Requirements

• 1-2 years experience handling claims
• Fluency in English & Portuguese (verbal & written) is essential for communicating internally and externally
• Basic understanding of insurance products and terminology
• Problem-solving, advocating for customer solutions
• Driven, energetic and a “good enough is not enough” mentality
• Professional approach
• Ability to work under pressure and adapt quickly to a start-up pace environment and culture
• Organizational and time management skills
• Excellent attention to detail

Responsibilities

• Claims Processing: Manage day-to-day claims activities for new claims, including claims actions, emails, and payments
• Own the assessment and approval of new claims within the authority and fraud thresholds
• Customer Communication: Handle customer inquiries regarding claims status and policy coverage via chat, phone or email
• Build rapport with customers to speed up claim’s resolution and process claims payments
• Documentation: Ensure all necessary documentation is collected and filed accurately in the system
• Quality: Maintain the quality of our work ensuring accuracy to meet business, team and individual KPIs
• Collaboration: Own the communication with all relevant stakeholders (Claims, Support) to resolve claims efficiently and ensure the best customer experience
• Compliance: Be aware of current insurance guidelines, policy updates, and regulations
• Follow company guidelines and local regulations to ensure claims are handled fairly and ethically
• Process Improvement: Identify and recommend process improvements to enhance claims handling efficiency and operations

Preferred Qualifications

• Bachelor’s or postgraduate degree in a related field or equivalent is desirable
• Any other European language will be highly regarded for external communications

Benefits

• Work with like-minded people who are passionate about both the work we're doing and giving back
• Our CG Gives programs enables us to all become philanthropists through our peer recognition and rewards system
• Social Initiatives - pictures speak a thousand words!