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APL CA Admin Representative

Role overview

Qualifications

  • Bachelor’s Degree from Four-Year College or University or 5-7 years of Customer focused and/or customer service experience
  • Excellent verbal and written communication skills
  • Good organizational, administrative and time management skills
  • Ability to maintain relationships with peers and leaders

Responsibilities

  • Handle complex situations in multi-channel and omni-channel customer communications
  • Act as a subject matter expert for the most complex situations and adjudicate claims when appropriate
  • Provide training and development for other team members
  • Consistently follow department metrics and ensure performance targets are met

Key facts

Other skills

  • Problem Solving
  • Decision Making
  • Customer Service
  • Time Management
  • Training And Development
  • Organizational Skills
  • Adaptability
  • Communication
  • Social Skills
  • Critical Thinking
  • Active Listening
  • Empathy
  • Resilience

About the company

American Fidelity logo

American Fidelity

Insurance

American Fidelity is more than an insurance company. We offer benefits strategies to help empower employers to make benefits decisions that help both their organizations and their employees. We serve employers in the education, public sector, automotive and healthcare markets so we can provide specialized benefits recommendations. Many of our competitors offer one-size-fits-all benefits packages and services, but we believe you and your employees deserve a different opinion.Our products and services include:- Supplemental insurance- Reimbursement accounts and administration- Stop loss insurance for self-funded plans- Section 125 Plan administration- Online benefits enrollment software- Patient Protection and Affordable Care Act (ACA) consultingExplore our career opportunities at americanfidelity.com/careers.

Company details

IndustryInsurance
Company size1001 - 5000

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Job description

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  • Possesses expert knowledge of multiple  products and services to independently handle the most complex situations on multi-channel and omni-channel Customer communications that are addressed and responded to consistently and timely in a manner which satisfies Customer needs and retains business; serves as a subject matter expert of the most complex situations for review and possesses the ability to adjudicate disability and supplemental medical and other claim types when appropriate; knowledgeable of group and individual policies, displays a high degree of evaluation and analysis to provide recommendations and resolution to the most complex situations.
  • Acts independently in a professional, knowledgeable, positive, timely and customer-focused manner.  Works effectively under pressure when needed in a very fast paced environment.  Demonstrates a consistent proactive approach for problem solving, providing solutions and proactively informing leadership immediately if repetitive issues arise; utilizes the ability to independently research and analyze complex Customer complaints to provide the best possible Customer Experience
  • Consistently follows and adheres to stated department metrics such as minimum call flow accuracy levels, schedule adherence and availability requirements.  Achieves a minimum number of multi-channel and omni-channel Customer communications to include Customer escalations while working with leadership to ensure average handle times and after call work times at individual and team levels are met. Provides training and development of other team members as well as acts as primary point of contact for escalated Customer communications; helps to identify opportunities for improving overall team performance, all while consistently and accurately possessing and sharing a positive, collaborative tone which supports the team and departmental culture.

  • Education & Certifications

  • Bachelor’s Degree From Four-Year College or University

  • If commensurate experience is acceptable in lieu of specific education requirement, please describe: In lieu of Bachelor's degree, position requires 5-7 years of Customer focused and/or customer service experience

  • Technical Skills & Requirements

  • Excellent verbal and written communication skills with the ability to explain complex situations in a clear format

  • Ability to deliver constructive feedback

  • Interpersonal skills and the ability to develop and maintain relationships with peers and leaders

  • Ready and willing to take ownership of department operations when appropriate

  • Good organizational, administrative and time management skills

  • Ability to be action oriented and focus on timely completion of tasks

  • Excellent decision quality

  • Exceptional skills in keyboard, PC Windows-based software and Microsoft Office

  • Drive for results through self-motivation and attention to detail

  • Creative in finding solutions to Customers needs

  • Critical thinking

  • Active listening skills

  • Adaptability, stress tolerance, empathy and resilience

  • Ability to be flexible in work schedule, including reliability and a willingness to work overtime as needed

  • Ability to keep composure and retain a positive tone and attitude

  • Compassion for Customers with their changing needs

  • Focused on providing the best Customer Experience

  • May need the ability to speak Spanish

    Compensation range:($60,747.36-$99,302.18) plus may be eligible for an annual discretionary company bonus. Actual compensation within that range will be dependent upon the individual's skills, experience, qualifications, and geographic location. For a general description of all employment benefits, click here.

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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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