Description
By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected.
As a Claims Associate - Consumer (Bilingual), your primary purpose will be to process claims and determine benefits due pursuant to credit card or other financial program benefits plans. You will make timely payments and adjustments for specified program claims and provide superior customer service.
Key Responsibilities:
- Process first-party property claims based on basic coverage as defined by client-specific programs
- Make coverage determinations based on investigation and evaluation
- Adjudicate proper settlement or denials up to designated authority level
- Handle a high volume of claims, phone calls, and correspondence while ensuring claim files are properly documented
Additional Responsibilities:
- Perform other duties as assigned
- Support the organization's quality program(s)
Requirements:
- High school diploma or GED required
- One (1) year of general office experience or equivalent combination of education and experience required
- Claims industry experience preferred
- Ability to read, write, and converse with fluency in professional Spanish
- 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
Work Environment:
- Consideration will be given to reasonable accommodations when applicable and appropriate
- 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.