sylvania | Claims Associate - Consumer - Bilingual English/Portuguese in Independence, OH

Claims Associate - Consumer - Bilingual English/Portuguese

  • Sedgwick Claims Management Services
  • $65,280.00 - 96,040.00 / Year *
  • Independence, OH 44131
  • Full-Time



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Claims Associate - Consumer Claims - Bilingual English/Portuguese

IF YOU CARE, THERE'S A PLACE FOR YOU HERE

For a career path that is both challenging and rewarding, join Sedgwick's talented team of 21,000 colleagues around the globe. Sedgwick is a leading provider of technology-enabled risk, benefits and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. Whether they have a workplace injury, suffer property or financial loss or damage from a natural or manmade disaster, are involved in an auto or other type of accident, or need time away from work for the birth of a child or another medical situation, we are here to provide compassionate care and expert guidance. Our clients depend on our talented colleagues to take care of their most valuable assets -- their employees, their customers and their property. At Sedgwick, caring counts . Join our team of creative and caring people of all backgrounds, and help us make a difference in the lives of others.

PRIMARY PURPOSE

: 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 settlements or denials up to designated authority level under supervision.
  • 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).

QUALIFICATIONS



Ed

ucation & 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 experience and education required. Claims industry experience preferred.

Additional Information

Highly prefer candidates fluent bilingual English/Portugese with one year of previous claims examiner experience.

Skills & Knowledge



  • Knowledge of first party property claims 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 organization 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.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

Sedgwick is an Equal Opportunity Employer

and a

Drug-Free Workplace




* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.