Claims Adjudication Specialist

Claims Adjudication Specialist

MCI is a leading Business Process Outsourcing (BPO) company that specializes in delivering tailored solutions to meet the diverse needs of our clients. With a commitment to excellence and a focus on innovation, we have established ourselves as a trusted partner in the industry.

We are seeking a detail-oriented and analytical On-Site Claims Adjudication Specialist to join our team! If you have strong critical thinking skills, a passion for exceptional customer service, and the ability to thrive in a fast-paced environment, we want to hear from you. This role involves handling inbound communications, evaluating warranty claims, and working closely with customers and service partners to ensure timely and accurate resolutions.

Shift & Schedule:

Training Schedule (2-3 weeks):

• Monday to Friday: 8:00 AM - 5:00 PM (Weekends Off)

Post-Training Shift:

• Saturday to Tuesday: 8:00 AM - 6:00 PM (Wednesday - Friday Off)
• Must be available for weekendsshift hours and days cannot be modified.
• Full-time, 40 hours per week.

To be considered for this role, you must complete a full application on our company careers page, including all screening questions and a brief pre-employment test.

Position Responsibilities

Key Responsibilities:

• Engage with existing customers through inbound calls and email.
• Evaluate and process warranty claims with precision, ensuring adherence to policy terms and conditions.
• Apply critical thinking and analytical skills to make informed, evidence-based decisions quickly.
• Handle escalated claims and conduct thorough investigations to resolve complex issues efficiently.
• Collaborate with customers, service partners, and internal teams to deliver an outstanding customer experience.
• Adapt to evolving processes and technology in a fast-growing business environment.
• Maintain accurate records of claim resolutions and customer interactions using email management systems and customer service software.

Expectations:

• Effectively multitask while managing a high volume of inbound communications via phone, email, and other channels.
• Clearly and concisely communicate complex claim details and decisions to customers and internal teams.
• Provide empathetic and professional customer service, even in high-pressure situations.
• Ensure timely and precise claim resolutions while maintaining high performance standards.
• Navigate multiple systems with proficiency and accuracy.

Candidate Qualifications

All positive, and driven applicants are encouraged to apply. The ideal candidates for this position are highly motivated and dedicated and should possess the below qualities:

• High school diploma or equivalent (additional certifications are a plus).
• 1-3 years of experience in one or more of the following: call center, claims adjudication, insurance adjusting, or technical customer service (preferably in a high-volume or protection plan environment).
• Proficiency with computers is essential.
• Proficiency in claims management systems, contact center platforms, and MS Office products.
• Strong verbal and written communication skills, with attention to grammar and clarity.
• Strong critical thinking and problem-solving skills with the ability to make well-informed decisions under pressure.
• Must be able to complete a writing skills test, including sending an email recap of a conversation.

Conditions of Employment

All MCI Locations

• Must be authorized to work in the country where the job is based.

Subject to the program and location of the position

• Must be willing to submit up to a LEVEL II background and/or security investigation with a fingerprint. Job offers are contingent on background/security investigation results.
• Must be willing to submit to drug screening. Job offers are contingent on drug screening results.

Compensation Details

At MCI, we believe that your hard work deserves recognition and reward. Our compensation and benefits packages are designed to be competitive and to grow with you over time. Starting compensation is based on experience, and we offer a variety of benefits and incentives to support and reward our team members.

What You Can Expect from MCI:

• Paid Time Off: Earn PTO and paid holidays to take the time you need.
• Incentives & Rewards: Participate in daily, weekly, and monthly contests that include cash bonuses and prizes ranging from electronics to dream vacationsand sometimes even cars!
• Health Benefits: Full-time employees are eligible for comprehensive medical, dental, and vision coverage after 90 days of employment, and all employees have access to MEC medical plans after just 30 days. Benefit options vary by location.
• Retirement Savings: Secure your future with retirement savings programs, where available.
• Disability Insurance: Short- and long-term disability coverage is available to help protect you during unexpected challenges.
• Life Insurance: Access life insurance options to safeguard your loved ones.
• Career Growth: With a focus on internal promotions, employees enjoy significant advancement opportunities.
• Paid Training: Learn new skills while earning a paycheck.
• Fun, Engaging Work Environment: Enjoy a team-oriented culture that fosters collaboration and engagement.
• Casual Dress Code: Be comfortable while you work.

Compensation & Benefits that Fit Your Life

MCI takes pride in tailoring our offerings to fit the needs of our diverse team across subsidiaries and locations. While specific benefits and incentives may vary by geography, the core of our commitment remains the same: rewarding effort, providing growth opportunities, and creating an environment where every employee feels valued.

If you're ready to join a company that recognizes your contributions and supports your growth, MCI is the place for you. Apply today!

Physical Requirements

This job operates in a professional office environment. While performing the duties of this job, the employee will be largely sedentary and will be required to sit/stand for long periods while using a computer and telephone headset. The employee will be regularly required to operate a computer and other office equipment, including a phone, copier, and printer. The employee may occasionally be required to move about the office to accomplish tasks; reach in any direction; raise or lower objects, move objects from place to place, hold onto objects, and move or exert force up to forty (40) pounds.

Reasonable Accommodation

Consistent with the Americans with Disabilities Act (ADA), it is the policy of MCI and its affiliates to provide reasonable accommodations when requested by a qualified applicant or employee with a disability unless such accommodations would cause undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment. If reasonable accommodations are needed, please contact Human Resources.

Diversity and Equality

At MCI and its subsidiaries, we embrace differences and believe diversity is a benefit to our employees, our company, our customers, and our community. All aspects of employment at MCI are based solely on a person's merit and qualifications. MCI maintains a work environment free from discrimination, one where employees are treated with dignity and respect. All employees share in the responsibility for fulfilling MCI's commitment to a diverse and equal opportunity work environment.

MCI does not discriminate against any employee or applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran status, race, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable laws, regulations, and ordinances. MCI will consider for employment qualified applicants with criminal histories in a manner consistent with local and federal requirements.

MCI will not tolerate discrimination or harassment based on any of these characteristics. We adhere to these principles in all aspects of employment, including recruitment, hiring, training, compensation, promotion, benefits, social and recreational programs, and discipline. In addition, it is the policy of MCI to provide reasonable accommodation to qualified employees who have protected disabilities to the extent required by applicable laws, regulations, and ordinances where an employee works.

About MCI (Parent Company)

MCI helps customers take on their CX and DX challenges differently, creating industry-leading solutions that deliver exceptional experiences and drive optimal performance. MCI assists companies with business process outsourcing, staff augmentation, contact center customer services, and IT Services needs by providing general