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Claims Associate - Consumer

Mindlance

Seven Hills, OH(remote)

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JOB DETAILS
SKILLS
Adjudication, Auditory, Brazilian Portuguese Language, Claims Processing, Compensation and Benefits, Computer Skills, Credit Cards, Customer Support/Service, Financial Planning, Identify Issues, Licensing, Microsoft Office, Microsoft Product Family, Multilingual, Multitasking, Presentation/Verbal Skills, Problem Solving Skills, Program Planning, Team Player, Time Management, Willing to Travel, Writing Skills
LOCATION
Seven Hills, OH
POSTED
30+ days ago


Description:
Claims Associate - Consumer
PRIMARY PURPOSE:
Must be Bilingual Brazilian Portuguese
To process claims and determine benefits due pursuant to credit card or other financial program benefits plans; to make timely payments and adjustments for specified program claims; and to provide superior customer service.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Processes first party property claims based on basic coverage as defined by client-specific program.
Makes coverage determinations based on investigation/evaluation.
Adjudicates proper settlement or denials up to designated authority level.
Handles high volume of claims, phone calls and correspondence ensuring claim files are properly documented; meets quality and production goals; and meets customer guidelines and deadlines.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
Performs other duties as assigned.
Supports the organization's quality program(s).

Requirements:
QUALIFICATIONS
Must be Bilingual Brazilian Portuguese MUST BE ON RESUME
Location: Remote
Times: M-F 8-4:30 EST
Possible temp to hire
Education & Licensing
High school diploma or GED required. Licenses as required or willingness/ability to move toward obtaining appropriate licensing as required.
Experience
One (1) year of general office experience or equivalent combination of education and experience required.
Claims industry experience preferred.
Must be Bilingual - Brazilian Portuguese
Skills & Knowledge
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
WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking
NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.

EEO:

Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.

About the Company

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Mindlance