Specialist, Customer Quality Claims Job at CommScope (Singapore)

Specialist, Customer Quality Claims

As a Customer Claims Specialist in India, you will Be the central point of conta...

Location

India , Verna, Goa

Salary:

Not provided

CommScope

Expiration Date

Until further notice

Requirements

Above average proficiency and has hands on experience in business to business (B2B) setting ERP SAP SD S/4 HANA, MS Office (Outlook, Word, Excel, PowerPoint, etc.), MS Outlook, MS Teams, CRM Microsoft Dynamics D365
Bachelor's Degree and equivalent experience required with at least 3 to 5 years of work experience in similar position or Customer Claims/Complaints/ Service/ Support/ Order fulfillment or RMA return management environment
Experience in a Distribution center and/or manufacturing environment handling finished products (preferred wireless OEM assemblies or electronic products) in earlier jobs is highly preferred
Knowledge of the manufacturing process, schedules and scheduling requirements, and logistics
Basic knowledge on quality system, tools, ISO9000 is a plus
Strong and concise verbal and written communication skills in English
Must have good coordination skills. Who can coordinate with internal or external customers effectively
Able to apply critical thinking as this is not just a data entry job
Must be detail oriented in regard to product quality, product specifications and operational procedures, SAP processes as they relate to addressing and resolving problem reported issues
Good verbal and written communications skills, interpersonal skills to communicate with Customers, PLMs, Operations

Job Responsibility

Be the central point of contact for customer complaints & claims, RMA Returns, Replacement, Credit management, Quality notifications
Research, Analyze and participate in resolving customer complaint claims related to but not limited to order entry, product quality, shipment of material or logistics errors
Ensure all claims are loaded into ERP & CRM systems and assigned based on level of complexity and severity
Ensure proper and timely responses are provided to customers and internal teams based on review of claims
Ensure customer requirements and expectations are clearly and accurately identified and follow up on the required action items & resolutions
Maintain liaison relationships across several cross functional teams such as Quality, Engineering, Operations, Sales, Field engineers, Product line management, Customer service and Logistics
Central point of contact for customer complaints, RMA, returns, replacement, credit management, quality notifications
Validate & Analyze the complaints, collect accurate information and documents
Entry of the Z1 notification into the SAP system, update complaint details and update CRM D365
Communicate and Collaborate with internal department for Quality & Claims investigation

Technical & Quality Centre Quality Product Analysis Specialist

The Quality Product Analysis Specialist plays a critical role within the Technic...

Location

United Kingdom , Rotherham

Salary:

Not provided

NAPA Auto Parts

Expiration Date

Until further notice

Requirements

Proven Experience: Ideally 3–5 years as a senior technician or diagnostic specialist in a high-volume garage, remanufacturing environment, or warranty inspection role
Certification: Level 3 Automotive Technician qualification or equivalent (e.g., IMI or City & Guilds)
Failure Analysis Training. Warranty Training: Experience or formal training related to warranty claim evaluation and processing preferred
Multi-System Mastery: Deep mechanical knowledge of modern vehicle and electronic systems
Electrical Proficiency: Ability to read electrical schematics and use multimeters or oscilloscopes to test rotating electrics and electronic sensors
Software Literacy: Comfortable with PC-based diagnostic software, CRM portals, warranty management systems, and standard office tools (e.g., Microsoft Word/Excel)
Precision Measurement: Skilled with precision tools such as micrometers, vernier calipers, and dial indicators for checking tolerances and shaft play
Warranty & Compliance Knowledge: Understanding of warranty policies, claim processing procedures, and applicable regulatory standards
Analytical Thinking: Logical, detective-like mindset adept at solving complex diagnostic puzzles that other technicians may overlook
Attention to Detail: Precision in inspecting fracture surfaces, wear patterns, and minute electrical deviations

Job Responsibility

Component Inspection: Conduct detailed physical and functional inspections on a wide range of components including turbos, braking systems, suspension units, clutches, and rotating electrics (alternators/starters)
Diagnostic Testing: Operate specialised test equipment (e.g., vacuum testers, electronic actuator testers, battery/alternator analysers, brake DTV machines, and brake caliper testers) to verify part performance against factory specifications
Root Cause Analysis: Investigate and determine the underlying cause of failure (e.g., carbon buildup, oil starvation, electrical surges, installation errors) to support warranty claim evaluations
Warranty Claim Assessment: Review and assess warranty claims in accordance with company policies, determining validity and identifying potential manufacturing or usage defects
Digital Reporting & Documentation: Utilise computer systems to log findings, upload digital photos of defects, generate professional inspection and warranty evaluation reports, and maintain accurate records for claim processing
Quality & Compliance: Maintain a clean, organised laboratory/testing environment ensuring all test equipment is in safe and calibrated working order. Ensure inspections comply with company standards and relevant regulatory requirements
Cross-Functional Communication: Collaborate closely with warranty administration, customer service, and re manufacturing teams to share findings, explain technical details, and support timely claim resolution

What we offer

We offer comprehensive benefit plans and programs designed to support your health and wellness, provide income protection and build financial security for your retirement

Clinical Specialist, Quality Management I

Who We Are: Because health is personal. That's why Personify Health created the ...

Location

United States

Salary:

60600.00 - 91000.00 USD / Year

Personify Health

Expiration Date

Until further notice

Requirements

Active, unrestricted Registered Nurse (RN) license required
Basic computer literacy
The ability to work on multiple screens, and proficient typing skills
Proficiency in software applications including, but not limited to, Microsoft Word, Microsoft Excel, and Outlook
Ability to speak clearly and convey complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others
Ability to work independently and utilize written resources to problem solve
After training with our training department and 1.5 months ramp (3 months total), must have and be able to work in: Teams on and off camera, SharePoint, Drives as needed, VPN, UM Web or Health Notes, El Dorado, Quick Links, GIAS, ADP, Confluence, Phone system with headset, Smartsheet
Knowledge of medical claims and ICD-10, CPT, HCPCS coding
Excellent verbal and written communication skills for upward and downward conversations
Level I: In-depth knowledge of applicable regulations and accreditation standards (HIPAA, CMS requirements as applicable, NCQA, URAC)

Job Responsibility

Ensure compliance with state, federal, and accreditation requirements (e.g., HIPAA, CMS, NCQA, URAC, ERISA, as applicable)
Conduct internal and external audits of UM/CM/CDM processes and documentation
prepare audit files, findings, and corrective action recommendations
Identify quality and compliance risks and collaborate with cross-functional partners on mitigation and resolution
Review and support SOPs and workflows to ensure regulatory alignment and operational clarity
Support external audit readiness activities, including NCQA and URAC evidence preparation and maintenance
Develop, maintain, and deliver role-based training curriculum aligned to compliance standards, quality goals, and operational workflows
Conduct onboarding and orientation to prepare staff for assigned UM/CM/CDM functions
Deliver training using multiple modalities (virtual, self-paced, and one-on-one coaching) tailored to adult learners
Ensure training covers applicable processes such as case initiation and closure, documentation standards, high-dollar case monitoring, stop-loss notification, administrative support, customer service, and productivity expectations

What we offer

Competitive base salary and benefits effective day one
Comprehensive medical and dental through our own health solutions (yes, we use what we build)
Unlimited PTO—rest and recharge time is non-negotiable
Mental health support, retirement planning, and financial protection
Professional development with clear career progression and learning budgets
Mission-driven culture where diverse perspectives drive real impact on people's health

Fulltime

Technical Quality Specialist

The Technical Quality Specialist is responsible for providing technical support ...

Location

Canada , Cambridge

Salary:

76000.00 - 104500.00 USD / Year

ATS Automation Tooling Systems Inc.

Expiration Date

Until further notice

Requirements

A post-secondary technology diploma or engineering degree or equivalent, specializing in electronics, electrical or mechanical engineering or equivalent work experience is required
A minimum of five years of quality assurance experience is required
Demonstrated technical problem solving
the ability to analyze and solve problems is essential
Strong communication skills are required to communicate with people at all levels within the organization, both orally and in writing
Ability to work cooperatively in a team environment
Strong data analysis skills

Job Responsibility

Assist process owners in the interpretation of quality, technical performance and business requirements
Develop, recommend and facilitate implementation changes to workflow
improve quality management system, review operational performance and provide solutions
Support the deployment of N299/ISO 9001 program and perform audits with associated RCCA activities
Inspection of incoming parts and associated supplier documentation
Review incoming unqualified/qualified source material for compliance with the Purchase Order and code requirements
Manage assigned projects in accordance with applicable standards, procedures and the gate review process
Analyze and prepare statistical data to determine capability of processes and measurement systems
Analyze test data as evidence to the degree of compliance to customer specifications
Investigate product/process/system quality issues, develop and initiate improvement, preventative actions and/or corrective actions

What we offer

Eligible for Annual Incentive Bonus
Stock Purchase Plan
3 Weeks Vacation
Health Care Benefits + $600 Health Care Spending Account
Employee Engagement Events (Employee BBQ’s and lunches, weekly snack day, etc.)
Employee Development Programs

Fulltime

Clinical Specialist, Quality Management and Training

The Clinical Compliance & Quality Specialist is responsible for ensuring regulat...

Location

United States

Salary:

60600.00 - 91000.00 USD / Year

Personify Health

Expiration Date

Until further notice

Requirements

In-depth knowledge of state and federal regulations, including HIPAA, CMS, NCQA, and URAC
Ability to interpret and apply evidence-based guidelines and accreditation standards to clinical operations
Skilled in conducting internal and external audits of clinical programs
Proficient in case file preparation, SOP review, and audit mark-up
Capable of producing detailed audit reports and recommending corrective actions
Excellent analytical thinking and problem-solving abilities
Able to identify compliance risks and propose mitigation strategies
Uses written resources independently to resolve issues
Exceptional attention to detail in reviewing clinical documentation and audit trails
Maintains accurate records and ensures data integrity

Job Responsibility

Ensure compliance with state, federal, and accreditation standards, including ERISA, NCQA, URAC, and HIPAA
Conduct internal and external audits of clinical programs, prepare detailed reports, participate in case file preparation and mark-up for audits
Monitor clinical trial activities to ensure protocol adherence and regulatory alignment
Identify and manage risks related to clinical quality and compliance, review and approve Standard Operating Procedures (SOPs), and collaborate with cross-functional teams to resolve quality issues and implement improvements
Train clinical staff on regulatory requirements, quality standards, and department objectives
Develop and maintain evidence-based training materials and software tools, and deliver training in various modalities (classroom, virtual, self-learning, and one-on-one) to adult learners with different levels of experience
Training topics include case identification and creation, stop loss notification, administrative support, monitoring high-dollar cases, case closure, documentation, customer service excellence, and productivity expectations
Track and report training activities and employee progress, updating department leadership on staff who are not meeting expectations
Participate in quality audit programs and conduct monthly sample quality analysis audits to identify gaps and training opportunities
Support corrective action plans as directed by management and provide comprehensive follow-up

What we offer

Competitive base salary and benefits effective day one
Comprehensive medical and dental through our own health solutions
Unlimited PTO
Mental health support, retirement planning, and financial protection
Professional development with clear career progression and learning budgets
Mission-driven culture where diverse perspectives drive real impact on people's health

Fulltime

Claims Specialist

Location

United States , Sioux Falls; West Des Moines

Salary:

37650.00 - 70595.00 USD / Year

Sammons Financial Group

Expiration Date

Until further notice

Requirements

Bachelor's Degree Preferred
2-4 years' Insurance or Annuity/Life Claim experience Preferred
Must have the ability to communicate effectively and tactfully with agents, policyholders, beneficiaries and other staff members
Must have knowledge of and ability to maneuver through multiple information screens
Previous customer service experience preferred
Must have strong organizational skills
Ability to work efficiently and independently or in a team environment
Able to adapt to frequent change, including daily transition of work duties, between tasks and lines of business
An appreciation for detail and problem solving skills
Computer skills, PC, Microsoft Office

Job Responsibility

Request and review claims requirements to determine coverage and finalize settlement of policy/contract benefits
Complete follow up on outstanding claim requirements with Agents, Policy Holders, Beneficiaries and Attorneys
Adhere to various legislation or settlement agreement requirements
Request and follow up for all outstanding claim requirements
Determine all requirements are met to company, state and regulatory standards before completing payment
Ensure all policy/contract settlements are completed within the Service Level and Quality Standard Agreements
Review and complete the review of data to meet all service level requirements in audits and settlement agreements
Request and gather medical records, legal documents, duplicate policies, etc. to assist in review for determining coverage
Apply department standards to escalate complex claim or benefit related requests
Correspond in writing and communicate via telephone to assist internal and external customers

What we offer

Health, Dental, Vision, Company Paid Retirement, PTO and Holiday Pay
Employee Stock Ownership Plan (ESOP) is a 100% company-funded retirement plan
Friday afternoons off all year long, competitive PTO, and generous number of paid holidays
Incentive program for defined goals subject to eligibility and performance

Fulltime

Claims Specialist

Ready to Process Claims That Directly Impact Member Care? We're looking for a de...

Location

Bosnia and Herzegovina , Tuzla

Salary:

Not provided

Personify Health

Expiration Date

Until further notice

Requirements

High school diploma or equivalent required
Computer literacy with knowledge of Windows and Microsoft Office environment
Proficiency in Word and Outlook (Excel and insurance database systems experience a plus)
Ability to read and interpret documents, instructions, correspondence, and memos
Capability to write routine reports and correspondence
Skills to present information effectively in one-on-one and small group situations
Ability to compute rate, ratio, and percent and interpret bar graphs
Capacity to apply common sense understanding to written, oral, or diagram instructions
Problem-solving abilities for standardized situations involving concrete variables
Excellent interpersonal and communication skills with strong customer orientation

Job Responsibility

Process claims efficiently: Handle daily claims processing activities for Personify Health clients, ensuring accuracy and timeliness in all transactions
Maintain quality standards: Work in high-paced office environment while focusing on tasks and consistently performing in compliance with policies and procedures
Meet production requirements: Adhere to work schedule and regularly attend work to meet client and production requirements while managing assigned deadlines
Support team success: Interact professionally with coworkers, clients, and customers while contributing to positive, collaborative work environment
Demonstrate reliability: Maintain ability to work on computer, multitask effectively, and consistently perform tasks according to established standards

Customer Care Specialist

We are the duck. We develop and empower our people, cultivate relationships, giv...

Location

United States , Windsor

Salary:

37440.00 - 55000.00 USD / Year

Aflac

Expiration Date

Until further notice

Requirements

Knowledge of principles and processes for providing customer and personal services, including customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction
Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, and other office procedures
Emotional intelligence skills shown through giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times
Skill in selecting and using training/instructional methods and procedures when learning new policies, procedures, concepts or products
Skill in managing one's own time and actively looking for ways to help people whether team members or customers
Skilled in verbal and written communication regardless of channel (phone, chat, email, text, social media, etc.) in order to convey information and ideas so others will understand
Requires special communication skills including, but not limited to having the ability to defuse tough conversations in a high-emotion environment while maintaining a calm demeanor
Problem solving skills
Microsoft Excel skills
Experience translating from Spanish to English and English to Spanish (for bilingual positions)

Job Responsibility

Under general supervision, receives inbound calls, email, or chats regarding Aflac products and services
provides thorough and accurate responses to policyholder or field force inquiries regarding policy or claim issues for Aflac products and service
Accurately processes Point of Call transactions including, but not limited to, customer name changes, transfers, cancellations, and beneficiary changes
promotes good customer relations by providing premier customer service with a professional and friendly demeanor
develops customer relationships through rapport-building, listening skills, engaging the customer, seeking clarification, and building trust
Composes and/or generates communications to request information or confirm action taken
is responsive and timely with correspondence and problem resolution, and displays a caring attitude
coordinates with other departments/divisions as necessary to ensure customer satisfaction with Aflac's services and products
Navigates computerized system for tracking, gathering and researching information
routes and tracks outstanding requests to ensure policy-holders and other customers receive complete, accurate and timely resolutions

What we offer

medical
dental
vision coverage
prescription drug coverage
health care flexible spending
dependent care flexible spending
Aflac supplemental policies (Accident, Cancer, Critical Illness and Hospital Indemnity offered at no costs to employee)
401(k) plans
annual bonuses
opportunity to purchase company stock

Fulltime

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Specialist, Customer Quality Claims

Job Description

Job Responsibility

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