Claims Associate, Bilingual

atSedgwickRemoteUS flagOhioFull-timeClaims SpecialistJuniorMid-level

Posted Oct 15

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

πŸ“‹ Description

β€’ Evaluate claims and ascertain benefits owed as per credit card or other financial program benefits plans.

β€’ Ensure prompt payments and modifications for designated program claims.

β€’ Deliver exceptional customer service.

β€’ Process first-party property claims based on the fundamental coverage specified by client-specific programs.

β€’ Make coverage decisions based on thorough investigation and assessment.

β€’ Resolve appropriate settlements or denials within the assigned authority level.

β€’ Manage a high volume of claims, phone inquiries, and correspondence.

β€’ Accurately document claim files.

β€’ Achieve quality and production targets, customer standards, and deadlines.

β€’ Contribute to the organization's quality initiatives.

β€’ Execute other responsibilities as assigned.


⛳️ Requirements

β€’ High school diploma or GED is mandatory.

β€’ A 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€’ Necessary licenses or the willingness and capability to pursue the required licensing.

β€’ Proficiency in professional Spanish, including reading, writing, and speaking.

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

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

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

β€’ Possess analytical and interpretive abilities.

β€’ Excellent organizational skills.

β€’ Strong interpersonal skills.

β€’ Capability to work effectively in a team setting.

β€’ Ability to meet or surpass Performance Competencies.

β€’ Successful credit security clearance confirmed through a background credit check is required.


🏝️ 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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