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).

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

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