Description:
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).