The CARE Lead Specialist helps define, build, test, deploy, and sustain CARE roles, workflows, and operating routines. The role serves as a subject matter resource for CARE Specialists and operational leaders by translating business needs into clear, scalable processes and supporting testing, training, deployment, and ongoing updates in partnership with Operations, Learning and Development, Quality, Workforce Management, Product, Engineering, and other business partners. The CARE function proactively identifies and addresses customer situations that could result in first call resolution failure, repeat contacts, escalations, or negative customer experiences. Its objective is to improve the customer journey and operational efficiency through early intervention, outbound customer contact, and timely case resolution. CARE Specialists work assigned outbound cases and support strategic initiatives, including PolyAI testing, end-to-end user acceptance testing, and other business-critical projects. The CARE foundation is modeled after the EU Outbound approach, which has delivered reductions in inbound call volume and cost per claim. As the Digital First strategy expands into North America, CARE supports customers who do not opt into digital experiences, prefer not to file online, or need additional assistance navigating available options, while supporting broader efficiency and cost-reduction objectives. Success is measured by program impact, including reduced contacts per claim, inbound voice volume, claim duration, and cases outside SLA; customer experience improvements such as CSAT and NPS; operational efficiency, including hotline reduction, case completion, fewer repeat contacts, and improved resolution; quality and accuracy in QA, case notes, resolutions, and follow-up timelines; and risk prioritization for high-severity and high-frequency claim issues. The role also assesses account risk using factors such as longevity, number of PPs, prior escalations, poor expectations, or high-touch partners. Duties, responsibilities, workflows, systems, and activities may change based on business needs, customer experience priorities, compliance expectations, or operational requirements.
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Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed