Claims Associate, Bilingual

atSedgwickRemoteUS flagFloridaFull-timeClaims SpecialistJuniorMid-level

Posted Oct 15

This is a fully remote position, open to applicants in Florida.

πŸ“‹ Description

β€’ Evaluate claims and ascertain benefits entitled under credit card or other financial program benefits plans

β€’ Ensure timely disbursement of payments and modifications for designated program claims

β€’ Deliver exceptional customer service

β€’ Manage first-party property claims according to the basic coverage outlined by the specific client program

β€’ Make coverage decisions based on thorough investigation and evaluation

β€’ Adjudicate appropriate settlements or denials within the designated authority level

β€’ Handle a substantial volume of claims, phone inquiries, and correspondence

β€’ Accurately document claim files

β€’ Achieve quality and production targets, adhere to customer guidelines, and meet deadlines

β€’ Perform additional responsibilities as assigned

β€’ Support the organization's quality initiatives


⛳️ Requirements

β€’ High school diploma or GED is mandatory

β€’ Necessary licenses or a willingness and capability to obtain the relevant licensing as required

β€’ Minimum of one (1) year of general office experience or a suitable combination of education and experience is required

β€’ Experience in the claims industry is preferred

β€’ Understanding of first-party property and casualty claim adjudication relevant to the line of business

β€’ Strong verbal and written communication skills, including presentation abilities

β€’ Proficient in PC usage, including Microsoft Office applications

β€’ Possess analytical and interpretive skills

β€’ Strong organizational abilities

β€’ Excellent interpersonal skills

β€’ Capability to thrive in a team-oriented setting

β€’ Ability to meet or surpass Performance Competencies

β€’ Proficient in reading, writing, and speaking professional Spanish

β€’ A credit security clearance, verified through a background credit check, is a requirement


🏝️ Benefits

β€’ Work-life balance

β€’ Supportive culture

β€’ Reasonable accommodations provided when applicable and appropriate

β€’ Equal Opportunity Employer

β€’ Drug-Free Workplace

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