Remote Claims Associate - Portuguese

Description:

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
• 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).

Requirements:

• Must be fluent in Brazilian Portuguese. please ensure their language fluency is noted on resume
• Screenings include Credit and Drug (5-panel), all screens must be clear prior to start.

Possible for temp-hire .

QUALIFICATIONS

Education & 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 education and experience required.
• Claims experience would be a plus.
• This position would mostly handle Auto damage claims.

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

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.

Nesco Resource provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.