Claims Associate, Bilingual
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Job Description
Bilingual Claims Associate processing consumer property claims and determining benefits for Sedgwick, an insurance services company. Providing Spanish-language customer service while adjudicating settlements, denials, and high-volume claim correspondence.
Responsibilities:
- Process claims and determine benefits due pursuant to credit card or other financial program benefits plans
- Make timely payments and adjustments for specified program claims
- Provide superior customer service
- Process first party property claims based on basic coverage as defined by client-specific program
- Make coverage determinations based on investigation/evaluation
- Adjudicate proper settlement or denials up to designated authority level
- Handle high volume of claims, phone calls and correspondence
- Properly document claim files
- Meet quality and production goals, customer guidelines, and deadlines
- Perform other duties as assigned
- Support the organization's quality programs
Requirements:
- High school diploma or GED required
- Licenses as required or willingness/ability to move toward obtaining appropriate licensing as required
- One (1) year of general office experience or equivalent combination of education and experience required
- Claims industry experience preferred
- Knowledge of first party property and casualty claim adjudication as applicable to line of business
- Good oral and written communication, including presentation skills
- PC literate, including Microsoft Office products
- Analytical and interpretive skills
- Good organizational skills
- Good interpersonal skills
- Ability to work in a team environment
- Ability to meet or exceed Performance Competencies
- Ability to read, write and converse with fluency in professional Spanish
- Credit security clearance, confirmed via a background credit check, is required
Benefits:
- Work-life balance
- Caring culture
- Reasonable accommodations when applicable and appropriate
- Equal Opportunity Employer
- Drug-Free Workplace
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