Claims Specialist II

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