Claims Associate - Consumer

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."