Claims Associate - Consumer

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Job description

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).

Qualifications

Education & Licensing High school diploma or GED required.

They do not need to be licensed.

One (1) year of general office experience or equivalent combination of education and experience required.

Claims industry experience preferred.

Candidates need to be quick decision makers and be able to work in fast-paced environment.

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.

• Only those lawfully authorized to work in the designated country associated with the position will be considered.

• Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client's business needs and requirements.

Benefits:

For information and details on employment benefits offered with this position, please visit here . Should you have any questions/concerns, please contact our HR Department via our secure website .

California Pay Equity:

For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here .

Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances.

If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, please contact our HR Department .

Rose International has an official agreement (ID ), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/10-91.).

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