Claims Specialist II

Job Summary

A company is looking for a Claims Specialist II to process, investigate, negotiate, and settle various claims.

Key Responsibilities

• Analyze claims to determine the need for additional investigation
• Communicate directly with third parties and customers to investigate, negotiate, and conclude claims
• Evaluate, approve, and pay claims up to a pre-approved limit based on serviced products

Required Qualifications

• Associate Degree or equivalent work experience; Bachelor's degree preferred
• 2+ years of customer service experience, including demonstrated teleservice skills
• 2+ years of claim processing experience, preferably in disability
• Demonstrated mathematical aptitude and ability to interpret medical and insurance documentation
• Fluency in Spanish (verbal/written) preferred